Organization
MILLENNIUM FOOT AND ANKLE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDER VALENTINOVICH LAVRENOV DPM (PRESIDENT)
(917) 687-7528
Entity
Organization
Contact information
Practice address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
Mailing address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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