Provider Demographics
NPI:1265937189
Name:ZULAUF, EMILY ELIZABETH (DPM)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ELIZABETH
Last Name:ZULAUF
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:206 JOE KNOX AVE STE D
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7912
Mailing Address - Country:US
Mailing Address - Phone:704-235-0474
Mailing Address - Fax:704-660-3987
Practice Address - Street 1:206 JOE KNOX AVE STE D
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7912
Practice Address - Country:US
Practice Address - Phone:704-235-0474
Practice Address - Fax:704-660-3987
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-25
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4271213ES0103X
NC842213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery