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Organization

LEEDS PODIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA ALEXANDRA PANTHEL DPM (OWNER/SOLE MEMBER)
(205) 623-0169
Entity
Organization

Contact information

Practice address
1628 9TH ST, STE 112, LEEDS, AL 35094-4140
(205) 623-0169
(205) 623-0167
Mailing address
1628 9TH ST, STE 112, LEEDS, AL 35094-4140
(205) 623-0169
(205) 623-0167

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
302
AL

Other

Enumeration date
08/11/2014
Last updated
08/11/2014
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