# LOFT SOLES PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foot and Ankle Institute of Maryland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396100905
- **Authorized official:** DONALD ERNEST HARRISON DPM (PODIATRIST)
- **Authorized official phone:** (443) 826-7681

## Contact information

- **Practice address:** 7671 QUARTERFIELD RD STE 302, GLEN BURNIE, MD 21061-4525
- **Practice address phone:** (410) 768-0074
- **Practice address fax:** (410) 768-0075
- **Mailing address:** 7671 QUARTERFIELD RD STE 302, GLEN BURNIE, MD 21061-4525
- **Mailing address phone:** (410) 768-0074
- **Mailing address fax:** (410) 768-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | 01510 | MD | Yes |

## Other

- **Enumeration date:** 12/24/2015
- **Last updated:** 03/15/2016