Organization
ASSURANT FOOT AND ANKLE CARE, SURGERY & AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN LUCAS JR. DPM (PRESIDENT, CEO)
(310) 412-0183
Entity
Organization
Contact information
Practice address
160 S LASKY DR, BEVERLY HILLS, CA 90212-1704
(310) 412-0183
Mailing address
455 N PRAIRIE AVE, INGLEWOOD, CA 90301-1413
(310) 412-0183
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E4965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740247766
NPI
CA
Enumeration date
04/28/2014
Last updated
04/28/2014
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