Provider Demographics
NPI:1073178927
Name:AIFCPC LLC
Entity type:Organization
Organization Name:AIFCPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LIEKE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:781-979-0919
Mailing Address - Street 1:100 UNICORN PARK DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-3339
Mailing Address - Country:US
Mailing Address - Phone:781-979-0919
Mailing Address - Fax:781-933-4382
Practice Address - Street 1:100 UNICORN PARK DR STE 3
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-3339
Practice Address - Country:US
Practice Address - Phone:781-979-0919
Practice Address - Fax:781-933-4382
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFILIATES IN FOOT CARE, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty