Organization
LARA S PODUSKA DPM LLC
Active
Organization
LARA S PODUSKA DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M PODUSKA (GEN PTR)
(216) 662-0027
Entity
Organization
Contact information
Practice address
24816 AURORA RD STE A, BEDFORD HEIGHTS, OH 44146-6908
(216) 662-0027
Mailing address
24816 AURORA RD STE A, BEDFORD HEIGHTS, OH 44146-6908
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
12/09/2023
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