| Lashawn D Freeman Dpm Sc | |
|
650 Grant St, #4, Gary, IN 46404-1533 | |
| (219) 882-2000 | |
| (219) 882-2044 |
| Full Name | Lashawn D Freeman Dpm Sc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 650 Grant St, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609029214 | NPI | - | NPPES |
| 200901880A | Medicaid | IN | |
| DD6800 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 07001023A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lashawn D Freeman Dpm Sc Po Box 19468, Chicago, IL 60619-0468 Ph: (219) 882-2000 | Lashawn D Freeman Dpm Sc 650 Grant St, #4, Gary, IN 46404-1533 Ph: (219) 882-2000 |
Broadway Foot Clinic Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3290 Grant St, Suite 108, Gary, IN 46408 Phone: 219-884-7880 Fax: 219-884-7880 | |
Lashawn Freeman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 650 Grant St, Suite 4, Gary, IN 46404 Phone: 219-882-2000 Fax: 219-881-2836 |