Organization
WE HEEL THE SOLE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERWANA LASTER DPM (PODIATRIST)
(317) 441-1093
Entity
Organization
Contact information
Practice address
10935 BEECHWOOD DR E, INDIANAPOLIS, IN 46280-1222
(317) 441-1093
(317) 669-2739
Mailing address
10935 BEECHWOOD DR E, INDIANAPOLIS, IN 46280-1222
(317) 441-1093
(317) 669-2739
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07001149A
IN
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
Update your record
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