Healthcare Provider Details

I. General information

NPI: 1619907755
Provider Name (Legal Business Name): TODD W LAMSTER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 N 92ND ST STE 215
SCOTTSDALE AZ
85258-4543
US

IV. Provider business mailing address

10200 N 92ND ST STE 215
SCOTTSDALE AZ
85258-4543
US

V. Phone/Fax

Practice location:
  • Phone: 480-656-1545
  • Fax: 480-781-2922
Mailing address:
  • Phone: 480-656-1545
  • Fax: 480-781-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN006048
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number660
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: