Organization
VISITING PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN A. BEATTY MD (OWNER)
(248) 824-6000
Entity
Organization
Contact information
Practice address
9001 WESLEYAN RD, SUITE 100A, INDIANAPOLIS, IN 46268-1176
(317) 497-5537
(855) 422-5183
Mailing address
PO BOX 4839, TROY, MI 48099-4839
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
10/25/2013
Last updated
10/29/2013
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