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Organization

MISHA LANZAT, D.P.M., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MISHA LANZAT D.P.M. (PRESIDENT)
(323) 268-2711
Entity
Organization

Contact information

Practice address
3743 WHITTIER BLVD, LOS ANGELES, CA 90023-1703
(323) 268-2711
(323) 268-9260
Mailing address
3743 WHITTIER BLVD, LOS ANGELES, CA 90023-1703
(323) 268-2711
(323) 268-9260

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3726
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E37260
CA
01
480032782
RAILROAD MEDICARE
CA
Enumeration date
05/26/2006
Last updated
05/01/2008
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