1063446813 NPI number — DR. LORI LYNNE HUPFER DPM

Table of content: DR. LORI LYNNE HUPFER DPM (NPI 1063446813)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063446813 NPI number — DR. LORI LYNNE HUPFER DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUPFER
Provider First Name:
LORI
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOHMAN
Provider Other First Name:
LORI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063446813
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 15454
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EVANSVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-475-9500
Provider Business Mailing Address Fax Number:
812-475-0920

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2809 LINCOLN AVE
Provider Second Line Business Practice Location Address:
EVANSVILLE FOOT AND ANKLE CENTER STE 130
Provider Business Practice Location Address City Name:
EVANSVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-475-8900
Provider Business Practice Location Address Fax Number:
812-475-0024
Provider Enumeration Date:
07/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  07000805A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 213EP0504X , with the licence number: 07000805A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 213EP1101X , with the licence number: 07000805A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 213ER0200X , with the licence number: 07000805A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 213ES0000X , with the licence number: 07000805A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 213ES0103X , with the licence number: 07000805A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 213ES0131X , with the licence number: 07000805A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)