Individual
LONNY NODELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
3020 HAMAKER CT, 201, FAIRFAX, VA 22031-2238
(703) 207-0073
Mailing address
3020 HAMAKER CT, 201, FAIRFAX, VA 22031-2238
(703) 207-0073
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1284
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301147
VA
Other
Enumeration date
06/22/2012
Last updated
08/28/2015
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