| Organization Name: | CRANBERRY FOOT AND ANKLE ASSOCIATES, INC |
| NPI Number: | 1134448111 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLINTON R LOWERY (PARTNER) |
| Mailing Address: | 518 Myoma Rd Mars |
| State: | PA US |
| Postal Code: | 160462324 |
| Phone Number: | 7249355533 |
| Fax Number: | 7249355890 |
| NPI Enumeration Date: | 05/29/2010 |
| NPI Last Update Date: | 05/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC002876L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |