Provider Demographics
NPI:1912325853
Name:KOMPIER, LAUREN (DPM)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:KOMPIER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 E 90TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1282
Mailing Address - Country:US
Mailing Address - Phone:317-773-7787
Mailing Address - Fax:317-773-2226
Practice Address - Street 1:2024 LINDBERG RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-2716
Practice Address - Country:US
Practice Address - Phone:317-773-7787
Practice Address - Fax:317-773-2226
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IN07001261A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program