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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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