Organization
LLOYD PODIATRY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LOHREY (CREDENTIALING SPECIALIST)
(317) 336-2106
Entity
Organization
Contact information
Practice address
13914 STATE ROAD 238 E, FISHERS, IN 46037-5506
(317) 842-1381
Mailing address
13914 STATE ROAD 238 E, FISHERS, IN 46037-5506
(317) 842-1381
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000551A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361540A
—
IN
Enumeration date
05/28/2009
Last updated
05/28/2009
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