Organization
MODERN PODIATRY, LLC
Active
Other names
Modern Podiatry: Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOOJUNG MICHELLE LEE DPM (DOCTOR/FOUNDER)
(972) 645-7654
Entity
Organization
Contact information
Practice address
255 W LEBANON STE 202, FRISCO, TX 75036-3411
(972) 645-7654
Mailing address
5729 LEBANON RD STE 144328, FRISCO, TX 75034-7260
(972) 645-7654
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
09/02/2021
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