MEDICARE: LOIS R. FLEMING, DPM A PODIATRY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E3706	CA

General Provider Information

NPI Number	:	1285762633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOIS R. FLEMING, DPM A PODIATRY CORPORATION

Provider Business Mailing Address
First Line	:	441 LAKE BLVD
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-2406
Country	:	US
Telephone Number	:	530-246-0523
Fax Number	:	530-246-1321

Provider Business Practice Location Address
First Line	:	441 LAKE BLVD
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-2406
Country	:	US
Telephone Number	:	530-246-0523
Fax Number	:	530-246-1321

Authorized Official
Title or Position	:	OWNER
Name	:	LOIS R FLEMING
Credential	:	DPM
Telephone Number	:	530-246-0523

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	04/30/2008

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