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Organization

STEVEN T MICHEL DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REGINA LYNN LORELLI (MANAGER)
(805) 482-0711
Entity
Organization

Contact information

Practice address
2460 PONDEROSA DRIVE NORTH, A105, CAMARILLO, CA 93010
(805) 482-0711
(805) 482-6524
Mailing address
2460 PONDEROSA DRIVE NORTH, A105, CAMARILLO, CA 93010
(805) 482-0711
(805) 482-6524

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1845
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000E18450
MEDICAL
CA
Enumeration date
09/29/2006
Last updated
07/27/2010
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