# SOUTHERN DELAWARE FOOT & ANKLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548301005
- **Authorized official:** BRADLEY T LEMON DPM (OWNER)
- **Authorized official phone:** (302) 629-3000

## Contact information

- **Practice address:** 543 N SHIPLEY ST, SUITE C, SEAFORD, DE 19973-2339
- **Practice address phone:** (302) 629-3000
- **Practice address fax:** (302) 629-3080
- **Mailing address:** PO BOX 772, SEAFORD, DE 19973-0772
- **Mailing address phone:** (302) 629-3613
- **Mailing address fax:** (302) 629-2384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1-0000121 | DE | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 04/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000025919 | — | DE |
| 01 | — | 2161 | COVENTRY | DE |
| 01 | — | 2220599000 | AMERIHEALTH | DE |
| 01 | — | 3314440 | AETNA - PPO | DE |
| 01 | — | 3316680 | AETNA - HMO | DE |
| 01 | — | 448142 | OPTIMUM CHOICE | DE |
| 01 | — | 510401832 | BLUE CROSS BLUE SHIELD | DE |
| 01 | — | 8699345001 | CIGNA | DE |
| 01 | — | P00062710 | RAILROAD MEDICARE | DE |