NPI 1134104474

Lynn H Stafford, DPM

Practitioner Podiatrist Fort Wayne, IN

Practice location

Address: 7559 W Jefferson Blvd, Fort Wayne, IN 46804-4131
Phone: (260) 436-3579
Fax: (260) 459-0287

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 07000636 (IN)

Other Podiatrist providers in Indiana →

Registry record

NPI: 1134104474
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2005
Record last updated: 13 Jun 2012

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.