Organization
ANKLE AND FOOT CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE DIDOMENICO DPM (DPM)
(330) 629-8800
Entity
Organization
Contact information
Practice address
1700 E MARKET ST, ST 105, WARREN, OH 44483-6625
(330) 399-5577
(330) 399-6918
Mailing address
1700 E MARKET ST, ST 105, WARREN, OH 44483-6625
(330) 399-5577
(330) 399-6918
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102758
—
OH
01
—
5504
RAILROAD MEDICARE
OH
Enumeration date
06/25/2007
Last updated
09/29/2010
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