MEDICARE: LAWRENCE Z HUPPIN, DPM, PLLC

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	213ES0000X	Sports Medicine Podiatrist

General Provider Information

NPI Number	:	1891957361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE Z HUPPIN, DPM, PLLC

Provider Business Mailing Address
First Line	:	600 BROADWAY STE 220
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-5373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 BROADWAY STE 220
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-5373
Country	:	US
Telephone Number	:	206-344-3808
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PODIATRIST
Name	:	DR. LAWRENCE ZANE HUPPIN
Credential	:	DPM
Telephone Number	:	206-344-3808

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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