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Organization
STANLEY LUKSENBURG
Active
Organization
STANLEY LUKSENBURG
Active
Other names
Fairview Podiatry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY A LUKSENBURG DPM (OWNER)
(440) 356-1118
Entity
Organization
Contact information
Practice address
21475 LORAIN RD, FAIRVIEW PARK, OH 44126-2124
(440) 356-1118
Mailing address
21475 LORAIN RD, FAIRVIEW PARK, OH 44126-2124
(440) 356-1118
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002120
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0577620
—
OH
Enumeration date
06/16/2007
Last updated
06/24/2008
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