Provider Demographics
NPI:1184289134
Name:LAFEET FOOT & ANKLE INC
Entity type:Organization
Organization Name:LAFEET FOOT & ANKLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:504-475-3338
Mailing Address - Street 1:10555 LAKE FOREST BLVD STE 3A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-5206
Mailing Address - Country:US
Mailing Address - Phone:504-475-3338
Mailing Address - Fax:504-584-7373
Practice Address - Street 1:10555 LAKE FOREST BLVD STE 3A-B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-5206
Practice Address - Country:US
Practice Address - Phone:504-475-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty