Individual provider Active NPI

Lori Sue Duncan, DPM

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1174507172
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
LD002091 Issued in MI
Practice address
18161 W 13 Mile Rd
#D2
Southfield, MI 48076-1113
Phone
(248) 258-0001
Fax
(248) 258-6779
NPI assigned
Dec 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LD002091 MI Primary

Addresses

Primary practice location

18161 W 13 Mile Rd
#D2
Southfield, MI 48076-1113

Mailing address

18161 W 13 Mile Rd
#D2
Southfield, MI 48076-1113
Phone (248) 258-0001

Other identifiers 1

IdentifierTypeStateIssuer
4687818MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD002091MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healthcare Associates P.C. Past Accepting new patients
Grand Blanc Family Footcare, P.C. PastSince Jan 1, 2007 Accepting new patients
Grand Blanc Footcare Specialists, P.L.L.C. Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14776/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174507172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "#D2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-258-0001",
            "fax_number": "248-258-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "#D2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-258-0001",
            "fax_number": "248-258-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "LORI",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "LD002091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4687818",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.