# ADVANCED FOOT & ANKLE CARE OF MEMPHIS, LLC

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

## Provider details

- **NPI number:** 1649471467
- **Authorized official:** NATHAN LUCAS DPM (PRESIDENT)
- **Authorized official phone:** (901) 309-8898

## Contact information

- **Practice address:** 2900 KIRBY RD, SUITE 5, MEMPHIS, TN 38119-8221
- **Practice address phone:** (901) 309-8898
- **Practice address fax:** (901) 309-5908
- **Mailing address:** 2900 KIRBY RD, SUITE 5, MEMPHIS, TN 38119-8221
- **Mailing address phone:** (901) 309-8898
- **Mailing address fax:** (901) 309-5908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 293D00000X | Physiological Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 04/09/2020