MEDICARE: LOIS R FLEMING DPM

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
2	213ER0200X	Radiology Podiatrist	RHD 133809	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225123789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIS R FLEMING DPM

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	10/14/2008

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Directions to “ LOIS R FLEMING DPM” Practice Location

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