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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LAWRENCE BRUCE IKEN, DPM

Active

DR. LAWRENCE BRUCE IKEN, DPM is a Podiatrist healthcare provider located in ELLISVILLE, Missouri. NPI 1972614451 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · ELLISVILLE, MO

Registration Details

NPI Number
1972614451
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.946061630428 yrs)
Last Updated
Jun 9, 2014
Licenses
360 (MO)
016002757 (IL)

Practice Information

Address
15410 MANCHESTER RD
ELLISVILLE, MO, 630113029
Browse MO providers · Browse ZIP 63011
Phone
6362276477
Fax
6362276477
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Podiatrist

Other Podiatrist Providers in ELLISVILLE, MO

Name Credential NPI
NEIL S SNYDER DPM 1306828199
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.