Organization
LAKE TAHOE PODIATRY A PROFESSIONAL PODIATRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA L FERRARO D.P.M. (PRESIDENT)
(530) 541-2665
Entity
Organization
Contact information
Practice address
2229 BARTON AVE, SOUTH LAKE TAHOE, CA 96150-3411
(530) 541-2665
(530) 541-2615
Mailing address
2229 BARTON AVE, SOUTH LAKE TAHOE, CA 96150-3411
(530) 541-2665
(530) 541-2615
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3664
CA
Other
Enumeration date
09/12/2012
Last updated
01/15/2013
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