Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORIN MICKELSEN IV, DPM
Active Sole ProprietorLORIN MICKELSEN IV, DPM is a Podiatrist healthcare provider located in NEWBURGH, Indiana. NPI 1689058356 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · NEWBURGH, IN
Registration Details
- NPI Number
- 1689058356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2015 (11.063127886069 yrs)
- Last Updated
- Nov 19, 2019
- Licenses
-
243967 (KY)00433 (KY)07001281A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4233 GATEWAY BLVDNEWBURGH, IN, 47630Browse IN providers · Browse ZIP 47630
- Phone
- 8128585786
- Fax
- 8124904512
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in NEWBURGH, IN
| Name | Credential | NPI |
|---|---|---|
| DARIN RICHARD SERLETIC | DPM | 1528040714 |
| BRANDT L DODSON | DPM | 1891861035 |
| TYLER TIDWELL | DPM | 1629462635 |
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.