Individual
LASHAWN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
650 GRANT ST, SUITE 4, GARY, IN 46404-1533
(219) 882-2000
(219) 881-2836
Mailing address
PO BOX 19468, CHICAGO, IL 60619-0468
(773) 363-5523
(773) 363-5602
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633214
BLUE CROSS BLUE SHIELD
IL
05
—
016005098
—
IL
05
—
200901880A
—
IN
01
—
N375966
HARMONY HEALTH
IL
01
—
P00243631
RAILROAD MEDICARE
IL
Enumeration date
06/10/2006
Last updated
11/29/2012
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