Organization
LAKEVILLE FOOT AND ANKLE PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS JAMES DUVAL DPM (OWNER)
(612) 670-0920
Entity
Organization
Contact information
Practice address
10651 165TH ST W, LAKEVILLE, MN 55044-5670
(612) 670-0920
Mailing address
10651 165TH ST W, LAKEVILLE, MN 55044-5670
(612) 670-0920
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
12/06/2023
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