Organization
LAKE PODIATRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L BURRELL D.P.M. (OWNER/PRESIDENT)
(603) 536-4563
Entity
Organization
Contact information
Practice address
144 HIGHLAND ST, PLYMOUTH, NH 03264-1240
(603) 536-4563
(603) 536-1056
Mailing address
144 HIGHLAND ST, PLYMOUTH, NH 03264-1240
(603) 536-4563
(603) 536-1056
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
02/10/2016
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