Provider Type Icon

LAWTON FAMILY FOOT CLINIC INC NPI 1720181621


NPI Information

NPI: 1720181621
Provider Name: LAWTON FAMILY FOOT CLINIC INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 37D0856530

Address:
5101 SW LEE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 357-8720
Get Directions

LAWTON FAMILY FOOT CLINIC INC is a podiatrist in Lawton, OK. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LAWTON FAMILY FOOT CLINIC INC NPI is 1720181621. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5101 SW LEE BLVD
LAWTON, OK
ZIP 73505-317
Phone: (580) 357-8720
Fax: (580) 357-8759

The provider's authorized official is Bryan Cain .
The authorized official title is Owner/doctor and has the following contact phone number (580) 357-8720.

The CLIA number assigned to this NPI record is 37D0856530 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist153OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10725380001MEDICARE NSC
2T40735MEDICARE UPIN
3=========001OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.