Dr Lawrence Bruce Iken, DPM in Ellisville, MO

Dr Lawrence Bruce Iken, DPM is a Podiatrist based in Ellisville, Missouri. Dr Lawrence Bruce Iken is licensed to practice in Missouri (license number 360) and his current practice location is 15410 Manchester Rd, Ellisville, Missouri. He can be reached at his office (for appointments etc.) via phone at (636) 227-6477.

NPI number for Dr Lawrence Bruce Iken is 1972614451 and his current mailing address is 15410 Manchester Rd, Ellisville, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972614451.

Contact Information

	Dr Lawrence Bruce Iken, DPM
	15410 Manchester Rd, Ellisville, MO 63011-3029
	(636) 227-6477
	(636) 227-6477

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lawrence Bruce Iken
Gender	Male
Speciality	Podiatrist
Location	15410 Manchester Rd, Ellisville, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1972614451
Provider Enumeration Date: 08/31/2006
Last Update Date: 06/09/2014

Medical Identifiers

Medical identifiers for Dr Lawrence Bruce Iken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972614451	NPI	-	NPPES
1972614451	Medicaid	MO
300900511	Medicaid	MO
P01144931	Other	IL	RAILROAD MEDICARE
P01302987	Other	MO	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	360 (Missouri)	Primary
213E00000X	Podiatrist	016002757 (Illinois)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lawrence Bruce Iken is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Lawrence Bruce Iken, DPM 15410 Manchester Rd, Ellisville, MO 63011-3029 Ph: (636) 227-6477	Dr Lawrence Bruce Iken, DPM 15410 Manchester Rd, Ellisville, MO 63011-3029 Ph: (636) 227-6477

Reviews and Comments

Podiatrist in Ellisville, MO

Meredith B Stuart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16087 Manchester Rd, Ellisville, MO 63011 Phone: 636-230-3883 Fax: 636-230-3884
Neil S Snyder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16087 Manchester Rd, Ellisville, MO 63011 Phone: 636-230-3883 Fax: 636-230-3884
Neil S Snyder Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 16087 Manchester Rd, Ellisville, MO 63011 Phone: 636-230-3883 Fax: 636-230-3884

Dr Lawrence Bruce Iken, DPM - Podiatrist in Ellisville, MO