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Organization
TWO INDIANA FOOT, L.L.C.
Active
Organization
TWO INDIANA FOOT, L.L.C.
Active
Other names
D/B/A: Evansville Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI LYNNE HUPFER D.P.M. (PHYSICIAN/PRESIDENT)
(812) 475-8900
Entity
Organization
Contact information
Practice address
2809 LINCOLN AVE, SUITE 130, EVANSVILLE, IN 47714-1752
(812) 475-8900
(812) 475-0024
Mailing address
PO BOX 15454, EVANSVILLE, IN 47716-0454
(812) 475-8900
(812) 475-0024
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
07000805A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF1524
RAILROAD MEDICARE
IN
Enumeration date
09/16/2006
Last updated
01/25/2008
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