| Janus Lepc, Llc | |
|
5424 Knox Ave S, Minneapolis, MN 55419-1502 | |
| (612) 741-5154 | |
| (612) 928-9182 |
| Full Name | Janus Lepc, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 5424 Knox Ave S, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205645777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Sharilyn Kramer Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093757031 PECOS PAC ID: 7113052077 Enrollment ID: I20100317000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Janus Lepc, Llc 5424 Knox Ave S, Minneapolis, MN 55419-1502 Ph: (612) 741-5154 | Janus Lepc, Llc 5424 Knox Ave S, Minneapolis, MN 55419-1502 Ph: (612) 741-5154 |
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