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Organization
PRIME FOOT AND ANKLE INSTITUTE PC
Active
Organization
PRIME FOOT AND ANKLE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDER LAVRENOV DPM (CEO)
(917) 687-7528
Entity
Organization
Contact information
Practice address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
(818) 241-3319
Mailing address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
(818) 241-3319
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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