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Organization
LYNNHAVEN FOOT AND ANKLE CENTER, INC.
Active
Organization
LYNNHAVEN FOOT AND ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J. VUOLO JR. DPM (PRESIDENT)
(757) 963-6363
Entity
Organization
Contact information
Practice address
1547 AMBERLEY FOREST RD, VIRGINIA BEACH, VA 23453-4706
(757) 963-6363
(757) 363-3453
Mailing address
1547 AMBERLEY FOREST RD, VIRGINIA BEACH, VA 23453-4706
(757) 963-6363
(757) 363-3453
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300951
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0103300951
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026024
—
VA
01
—
5936440001
MEDICARE DMEPOS
VA
Enumeration date
01/18/2007
Last updated
02/26/2008
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