Organization
LASHAWN D FREEMAN DPM SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWN D FREEMAN DPM (OWNER)
(219) 882-2000
Entity
Organization
Contact information
Practice address
650 GRANT ST, #4, GARY, IN 46404-1533
(219) 882-2000
(219) 882-2044
Mailing address
PO BOX 19468, CHICAGO, IL 60619-0468
(219) 882-2000
(219) 881-2836
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901880A
—
IN
01
—
DD6800
RR MEDICARE
IN
Enumeration date
10/28/2008
Last updated
10/11/2012
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