MEDICARE: LK MOBILE PODIATRIC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1669328639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LK MOBILE PODIATRIC SERVICES LLC

Provider Business Mailing Address
First Line	:	9202 FOX SPARROW RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-2657
Country	:	US
Telephone Number	:	845-270-4463
Fax Number	:

Provider Business Practice Location Address
First Line	:	9202 FOX SPARROW RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-2657
Country	:	US
Telephone Number	:	845-270-4463
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN KARGER
Credential	:	DPM
Telephone Number	:	845-270-4463

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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