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Individual

LOIS R FLEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
441 LAKE BLVD, REDDING, CA 96003-2406
(530) 246-0523
(530) 246-1321
Mailing address
441 LAKE BLVD, REDDING, CA 96003-2406
(530) 246-0523
(530) 246-1321

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3706
CA
213ER0200X
Radiology Podiatrist
RHD 133809
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E37060
CA
Enumeration date
10/03/2006
Last updated
10/14/2008
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