| Lincoln Pedic Clinic, Inc. | |
|
12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 | |
| (260) 637-8414 | |
| (260) 637-8152 |
| Full Name | Lincoln Pedic Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 12311 Autumn Breeze Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760486393 | NPI | - | NPPES |
| 000000235683 | Other | IN | ANTHEM BLUE CROSS |
| 100210380A | Medicaid | IN | |
| C31367 | Other | IN | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 07000776A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Pedic Clinic, Inc. 12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 Ph: (260) 637-8414 | Lincoln Pedic Clinic, Inc. 12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 Ph: (260) 637-8414 |
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