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Individual

ANDREW DAVID LONABAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2291 SE FEDERAL HWY, STUART, FL 34994-4516
(772) 286-9912
Mailing address
2291 SE FEDERAL HWY, STUART, FL 34994-4516
(856) 904-1944

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3793
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112063600
FL
Enumeration date
07/31/2013
Last updated
01/26/2022
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