Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 07000805A | IN |
N | 222Z00000X | Podiatrist | 07000805A | IN |
N | 213EP0504X | Public Medicine | 07000805A | IN |
N | 213EP1101X | Primary Podiatric Medicine | 07000805A | IN |
N | 111NR0200X | Radiology | 07000805A | IN |
N | 213ER0200X | Radiology | 07000805A | IN |
N | 2081S0010X | Sports Medicine | 07000805A | IN |
N | 213ES0000X | Sports Medicine | 07000805A | IN |
N | 213ES0103X | Foot & Ankle Surgery | 07000805A | IN |
N | 213ES0131X | Foot Surgery | 07000805A | IN |
NPI | 1063446813 |
---|---|
Provider Name | Dr. Lori Lynne Hupfer |
First Address | Evansville, IN 47716 |
Second Address | Evansville, IN 47714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U56742 | (02) |