Organization
LENORD S HORWITZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENORD SHYIA HORWITZ DPM (PRESIDENT)
(276) 322-5039
Entity
Organization
Contact information
Practice address
2135 COLLEGE AVE, BLUEFIELD, VA 24605-2002
(276) 322-5039
Mailing address
2135 COLLEGE AVE, BLUEFIELD, VA 24605-2002
(276) 322-3601
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000951
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207689000
—
WV
Enumeration date
08/29/2006
Last updated
07/27/2009
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