Provider Demographics
NPI:1063446813
Name:HUPFER, LORI LYNNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:LYNNE
Last Name:HUPFER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:LOHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 15454
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47716
Mailing Address - Country:US
Mailing Address - Phone:812-475-9500
Mailing Address - Fax:812-475-0920
Practice Address - Street 1:2809 LINCOLN AVE
Practice Address - Street 2:EVANSVILLE FOOT AND ANKLE CENTER STE 130
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714
Practice Address - Country:US
Practice Address - Phone:812-475-8900
Practice Address - Fax:812-475-0024
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000805A213E00000X, 213EP0504X, 213EP1101X, 213ER0200X, 213ES0000X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Not Answered213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
Not Answered213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Not Answered213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
Not Answered213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Not Answered213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Not Answered213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN235420Medicare ID - Type Unspecified
U56742Medicare UPIN