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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHARON MINDY DEFFENBAUGH

Active Sole Proprietor

SHARON MINDY DEFFENBAUGH is a Podiatric Surgery healthcare provider located in LACON, Illinois. NPI 1396333928 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · LACON, IL

Registration Details

NPI Number
1396333928
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2021 (5.5892173033744 yrs)
Last Updated
Jan 8, 2021
Sole Proprietor
Yes

Practice Information

Address
815 2ND ST
LACON, IL, 615401737
Browse IL providers · Browse ZIP 61540
Phone
3093634695
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.