Lafayette Foot And Ankle Clinic

NPI 1003099441 - Podiatrist - 213EP1101X

NPI Details
NPI 1003099441
Enumeration Date 12/07/2007
Last Updated 12/07/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BENNY BENNY
Position OWNER
Phone (260) 458-9953
Fax (260) 458-9238
Practice Location
2700 LAFAYETTE ST STE 230
FORT WAYNE IN, 46806-1100, US
Phone (260) 458-9953
Fax (260) 458-9238
Business Location
2700 LAFAYETTE ST STE 230
FORT WAYNE IN, 46806-1100, US
Phone (260) 458-9953
Fax (260) 458-9238
Toxanomy
Taxonomy Code 213EP1101X
License State Indiana
License Number 07000728
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According to our database, Lafayette Foot And Ankle Clinic NPI is 1003099441, taxonomy code is 213EP1101X and license number is 07000728, license state is located at Indiana. Lafayette Foot And Ankle Clinic physically located at 2700 Lafayette St Ste 230, Fort Wayne IN, 46806-1100. NPI Number 1033115704 has the healthcare provider type.

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1003099441 NPI number is provided on an as is basis without warranty of any kind. 1003099441 is maintained by the National Plan & Provider Enumeration System. The contents of Lafayette Foot And Ankle Clinic are for informational purposes only.