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Lake Podiatry, P.A.

NPI 1093947111ActiveOrganization· Podiatrist· Plymouth, NH

Podiatrist in Plymouth, New Hampshire, registered in NPPES in August 2009. The authorized official on file is Matthew L. Burrell, D.P.M., Owner/President.

Overview

NPI1093947111
StatusActive
Entity typeOrganization
NPI issuedAug 24, 2009
Last updated in NPPESFeb 10, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other podiatrists in Plymouth

All podiatrists in New Hampshire