Lake Podiatry, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LAKE PODIATRY, P.A.

Practice address

144 Highland St
Plymouth, NH 03264-1240

Phone

(603) 536-4563

Fax

(603) 536-1056

NPI assigned

Aug 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew L Burrell, D.P.M.

Title

Owner/President

Phone

(603) 536-4563

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1093947111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HIGHLAND ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641240",
            "telephone_number": "603-536-4563",
            "fax_number": "603-536-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 HIGHLAND ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641240",
            "telephone_number": "603-536-4563",
            "fax_number": "603-536-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PODIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "603-536-4563",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Terry Kirschner, D.D.S.
• Erin Marie Klasen-Orr, LICSW
• Natasha Kleeba
• Cheyenne Koble
• James Peter Koren, MD
• Aimee Lamotte, M.ED.
• Linda Langendorfer, OTA
• Barbara A Laverack
• Gabrielle Lebihan
• Peng Lee

• Podiatrist in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Podiatrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.