Healthcare Provider Details
I. General information
NPI: 1609831254
Provider Name (Legal Business Name): LEE NORMAN OROWITZ D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42 N 3RD ST
EASTON PA
18042-7737
US
IV. Provider business mailing address
42 N 3RD ST
EASTON PA
18042-7737
US
V. Phone/Fax
- Phone: 610-253-4821
- Fax: 610-253-6120
- Phone: 610-253-4821
- Fax: 610-253-6120
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213EP1101X |
| Taxonomy | Primary Podiatric Medicine Podiatrist |
| License Number | SC-001491L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: