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
1212 N BROAD ST, GRIFFITH, IN 46319-1534
(219) 972-9000
(219) 838-4521
Mailing address
1212 N BROAD ST, GRIFFITH, IN 46319-1534
(219) 972-9000
(219) 838-4521
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
Enumeration date
10/22/2012
Last updated
10/22/2012
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