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Organization

DISTRICT FOOT AND ANKLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LONNY NODELMAN DPM (OWNER)
(703) 832-9013
Entity
Organization

Contact information

Practice address
4875 EISENHOWER AVE STE 230, ALEXANDRIA, VA 22304-4833
(703) 832-9013
Mailing address
4875 EISENHOWER AVE STE 230, ALEXANDRIA, VA 22304-4833
(703) 832-9013

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
04/11/2019
Last updated
06/11/2019
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