Lords, Deric
Lords, Deric is an sole proprietor health care provider with primary practice located at 1310 N Kraemer Blvd , Placentia CA 92870-3401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lords, Deric can be contacted via phone (714) 996-7601.Contact Information
Primary practice address
1310 N Kraemer Blvd
Placentia CA 92870-3401
Phone: (714) 996-7601
Fax: (714) 996-0745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E2783 | California |
Profile Details
| NPI number | 1841297488 |
|---|---|
| LBN Legal business name | Lords, Deric |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jul 18th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841297488 | NPPES |
| California | MEDICAID | 000E2783 |
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