Organization
WEST SYCAMORE PODIATRY, INC
Active
Other names
ADVANCED FOOT & ANKLE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LYNN LEWIS (OFFICE MANAGER)
(765) 453-5892
Entity
Organization
Contact information
Practice address
3611 S REED RD, SUITE 104, KOKOMO, IN 46902-3828
(765) 453-5892
(765) 453-8262
Mailing address
3611 S REED RD, SUITE 104, KOKOMO, IN 46902-3828
(765) 453-5892
(765) 453-8262
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
12/03/2007
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