Organization
ALEKSANDR KOMAROV DPM LLC
Active
Other names
Lansing Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDR KOMAROV DPM (CEO, SOLE MEMBER)
(248) 787-9684
Entity
Organization
Contact information
Practice address
1360 N LAKE SHORE DR APT 708, CHICAGO, IL 60610-8442
(248) 787-3625
Mailing address
1360 N LAKE SHORE DR APT 708, CHICAGO, IL 60610-8442
(248) 787-3625
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
12/05/2013
Last updated
10/10/2019
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