Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | ||
N | 222Z00000X | Podiatrist | ||
Y | 224P00000X | Prosthetist |
NPI | 1093903668 |
---|---|
Provider Name | Lee H Cardon |
First Address | Rancho Mirage, CA 92270-2873 |
Second Address | Rancho Mirage, CA 92270-2873 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2007 |
Last Update Date | 11/11/2020 |