Organization
NORTHLAKE FOOT AND ANKLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH QUICK (OWNER)
(985) 727-3936
Entity
Organization
Contact information
Practice address
233 ST ANN DR, SUITE 4, MANDEVILLE, LA 70471-3395
(985) 727-3936
(985) 727-3525
Mailing address
233 ST ANN DR, SUITE 4, MANDEVILLE, LA 70471-3395
(985) 727-3936
(985) 727-3525
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
LA
Other
Enumeration date
09/06/2006
Last updated
06/23/2014
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