Organization
LA KOCUR WILDE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI A KOCUR DPM (PRESIDENT)
(215) 696-6078
Entity
Organization
Contact information
Practice address
134 REBEL RD, KING OF PRUSSIA, PA 19406-2383
(215) 696-6078
(610) 265-2695
Mailing address
134 REBEL RD, KING OF PRUSSIA, PA 19406-2383
(215) 696-6078
(610) 265-2695
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003384L
PA
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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