Organization
DERIC LORDS D P M A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ANDERSON LORDS (OFFICE MANAGER)
(714) 996-7601
Entity
Organization
Contact information
Practice address
1310 N KRAEMER BLVD, PLACENTIA, CA 92870-3401
(714) 996-7601
(714) 996-0745
Mailing address
1310 N KRAEMER BLVD, PLACENTIA, CA 92870-3401
(714) 996-7601
(714) 996-0745
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E2783
—
CA
01
—
E2783
MEDICARE ID
CA
Enumeration date
04/16/2008
Last updated
01/25/2012
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