# ANKLE AND FOOT CLINIC OF ENID, LLC

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

## Provider details

- **NPI number:** 1376916742
- **Authorized official:** DR. EDWARD ALEXANDER LEBRIJA D.P.M. (PODIATRIST)
- **Authorized official phone:** (580) 297-5184

## Contact information

- **Practice address:** 915 E GARRIOTT RD, SUITE J, ENID, OK 73701-6156
- **Practice address phone:** (580) 297-5184
- **Practice address fax:** (580) 297-5187
- **Mailing address:** 915 E GARRIOTT RD, SUITE J, ENID, OK 73701-6156
- **Mailing address phone:** (580) 297-5184
- **Mailing address fax:** (580) 297-5187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 304 | OK | Yes |

## Other

- **Enumeration date:** 11/07/2015
- **Last updated:** 11/07/2015