institution
Lafayette Foot And Ankle Clinic
Primary Podiatric Medicine Podiatrist in Fort Wayne, Indiana
NPI 1003099441

Lafayette Foot And Ankle Clinic is a Primary Podiatric Medicine Podiatrist based in Fort Wayne, IN and is specialized in Primary Podiatric Medicine. Lafayette Foot And Ankle Clinic practices in Fort Wayne, IN. The NPI Number for Lafayette Foot And Ankle Clinic is 1003099441 and holds a License No. 07000728 (Indiana).

The current practice location address for Lafayette Foot And Ankle Clinic is 2700 Lafayette St Ste 230, Fort Wayne, IN and can be reached out via phone at 260-458-9953 and via fax at 260-458-9238.

Location: 2700 Lafayette St Ste 230, Fort Wayne, IN, 46806-1100
institution
Provider Profile Details
NPI Number
1003099441
Provider Name
Lafayette Foot And Ankle Clinic
Credential
Provider Entity Type
Organization
Address
2700 Lafayette St Ste 230, Fort Wayne, IN, 46806-1100
Phone Number
260-458-9953
Fax Number
260-458-9238
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00128864 01 RR MCR
institution
Provider Business Practice Location Address Details
Address
2700 Lafayette St Ste 230
City
State
Zip
46806-1100
Phone Number
260-458-9953
Fax Number
260-458-9238
person
Provider Business Mailing Address Details
Address
2700 Lafayette St Ste 230
City
State
Zip
46806-1100
Phone Number
260-458-9953
Fax Number
260-458-9238
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
07000728 (Indiana)
Definition
Definition to come...
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