Organization
L.M. DEMIDOWICH PLLC
Active
Other names
Northern Sun Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE DEMIDOWICH DPM (MEMBER)
(973) 464-7742
Entity
Organization
Contact information
Practice address
2286 CROSSWIND DR STE C, PRESCOTT, AZ 86301-6100
(973) 464-7742
Mailing address
PO BOX 27077, PRESCOTT VALLEY, AZ 86312-7077
(973) 464-7742
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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