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Organization

CASA GRANDE FOOT & ANKLE SPEC

Active
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Organization

CASA GRANDE FOOT & ANKLE SPEC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM K LU DPM (OWNER)
(520) 836-3400
Entity
Organization

Contact information

Practice address
675 E COTTONWOOD LN, CASA GRANDE, AZ 85222-2023
(520) 836-3400
(520) 836-2425
Mailing address
PO BOX 11083, CASA GRANDE, AZ 85230-1083
(520) 836-3400
(520) 836-2425

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—

Other

Enumeration date
10/02/2007
Last updated
11/14/2007
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