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Organization
CLEVELAND LOWER EXTREMITY SPECIALISTS, LLC
Active
Organization
CLEVELAND LOWER EXTREMITY SPECIALISTS, LLC
Active
Other names
Cleveland Lower Extremity Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RAZZANTE DPM (MEMBER)
(440) 885-1000
Entity
Organization
Contact information
Practice address
6688 RIDGE RD STE 1110, PARMA, OH 44129-5706
(440) 885-1000
Mailing address
6688 RIDGE RD STE 1110, PARMA, OH 44129-5706
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
08/17/2017
Last updated
08/17/2017
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