Dr. Lawrence Bruce Iken is a Ellisville, Missouri based male podiatrist who is specialized in Podiatry. Active license number of Dr. Lawrence Bruce Iken for Podiatry is 360 in Missouri. Dr. Lawrence Bruce Iken is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Lawrence Bruce Iken speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
15410 Manchester Rd, Ellisville, Missouri, 63011-3029
Phone:
636-227-6477
Fax:
636-227-6477
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1972614451
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
09 Jun, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lawrence Bruce Iken are as mentioned below.
License Number
Specialization
State
Status
360
Podiatry
Missouri
Primary
016002757
Podiatry
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lawrence Bruce Iken such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1972614451
Medicaid
Missouri
300900511
Medicaid
Missouri
P01144931
Other
Illinois
RAILROAD MEDICARE
P01302987
Other
Missouri
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15410 Manchester Rd, Ellisville, Missouri
Zip:
63011-3029
Phone Number:
636-227-6477
Fax Number:
636-227-6477
Patients can reach Dr. Lawrence Bruce Iken at 15410 Manchester Rd, Ellisville, Missouri or can call to book an appointment on 636-227-6477. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Ellisville, MO
Meredith B Stuart, DPM 33+ yr exp.Speciality: Podiatrist - Primary Podiatric Medicine Address: 16087 Manchester Rd, MO Phone: 636-230-3883 Fax: 636-230-3884