Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | SC003778R | PA |
N | 222Z00000X | Podiatrist | SC003778R | PA |
Y | 213EP1101X | Primary Podiatric Medicine | SC003778R | PA |
N | 213ES0131X | Foot Surgery | SC003778R | PA |
NPI | 1073511580 |
---|---|
Provider Name | Dr. Kenneth Russell Lefkowitz |
First Address | Doylestown, PA 18901 |
Second Address | Doylestown, PA 18901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 15/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0013957020002 | (05) | PA |
U37160 | (02) | PA |