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Organization

LAKEVIEW FAMILY FOOT CARE L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERARD ALFRED SKAZIAK DPM (PODIATRIST/OWNER)
(256) 582-7486
Entity
Organization

Contact information

Practice address
1604 BLOUNT AVE, GUNTERSVILLE, AL 35976-1840
(256) 582-7486
(256) 582-9844
Mailing address
P.O. BOX 404, GUNTERSVILLE, AL 35976-1840
(256) 582-7486
(256) 582-9844

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
171
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000078853
MEDICARE LEGACY PROVIDER#
AL
01
2710035
UNITED HEALTH CARE #
01
38652
HEALTH PARTNERS #
01
51078853SKA
BLUE CROSS BLUE SHIELD
01
DP9341
RAILROAD MEDICARE
AL
Enumeration date
07/17/2007
Last updated
06/02/2010
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