# ASDPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114772837
- **Authorized official:** DR. AMANDA LUTTER SEN DPM (PODIATRIST)
- **Authorized official phone:** (937) 545-2897

## Contact information

- **Practice address:** 3525 OLENTANGY RIVER RD STE 6300, COLUMBUS, OH 43214-3937
- **Practice address phone:** (937) 545-2897
- **Practice address fax:** (614) 566-2007
- **Mailing address:** 1381 NORWELL DR, COLUMBUS, OH 43220-3956
- **Mailing address phone:** (937) 545-2897
- **Mailing address fax:** (614) 864-9709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 05/17/2024
