Search › Iowa › Podiatrist
Jim Licandro, DPM
NPI 1609873538 · on the registry since 2005
Practice
- Address
- 405 Woodlawn Rd
Long Grove, IA 52756 - Phone
- (832) 425-7457
- Fax
- (563) 285-5446
- Organisation at this address
- Premier Podiatry
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Podiatrist
213E00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa