NPI 1003193814
Lafayette Foot and Ankle Clinic LLC
Practice location
- Address
- 2700 Lafayette St Suite 100, Fort Wayne, IN 46806-1100
- Phone
- (260) 458-9953
- Fax
- (260) 458-9238
Authorised official
- Name
- Benny Fair
- Title
- Ceo
- Phone
- (260) 458-9953
Registered specialties
Podiatrist
Primary
Registry record
- NPI
- 1003193814
- Entity type
- Organization
- NPI issued
- 8 Nov 2011
- Record last updated
- 6 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.