| Organization Name: | LASHAWN D FREEMAN, DPM SC |
| NPI Number: | 1700139243 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LASHAWN D FREEMAN (OWNER) |
| Mailing Address: | 1212 N Broad St Griffith |
| State: | IN US |
| Postal Code: | 463191534 |
| Phone Number: | 2199729000 |
| Fax Number: | 2198384521 |
| NPI Enumeration Date: | 10/22/2012 |
| NPI Last Update Date: | 10/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 07001023A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |