IndividualActive
Lorene Van Dam, DPM
NPI 1265588479 · Foot Surgery Podiatrist · Springfield, MO
Provider details
- NPI number
- 1265588479
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 686 (MO)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4870 W Kingsbury St
Springfield, MO 65802-7710
Phone: (417) 299-7602
Street-level locationGet directions
Mailing address
4870 W Kingsbury St
Springfield, MO 65802-7710
Registry dates
- Enumerated
- 2007-01-28
- Last updated
- 2010-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.