Organization
LEWIS P CARROZZA DPM PC
Active
Other names
lewis p carrozza dpm pc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS P CARROZZA DPM (OWNER)
(708) 388-3910
Entity
Organization
Contact information
Practice address
4417 147TH ST, MIDLOTHIAN, IL 60445-2643
(708) 388-3910
(708) 388-3911
Mailing address
4417 147TH ST, MIDLOTHIAN, IL 60445-2643
(708) 388-3910
(708) 388-3911
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001033
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/16/2006
Last updated
04/12/2013
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