# MODERN PODIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Podiatry: Foot & Ankle Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629699798
- **Authorized official:** DR. WOOJUNG MICHELLE LEE DPM (DOCTOR/FOUNDER)
- **Authorized official phone:** (972) 645-7654

## Contact information

- **Practice address:** 255 W LEBANON STE 202, FRISCO, TX 75036-3411
- **Practice address phone:** (972) 645-7654
- **Mailing address:** 5729 LEBANON RD STE 144328, FRISCO, TX 75034-7260
- **Mailing address phone:** (972) 645-7654

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2020
- **Last updated:** 09/02/2021