Individual
LARRY G LIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15299 BAGLEY RD STE 100, CLEVELAND, OH 44130-4823
(440) 885-2100
(440) 885-2106
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(440) 842-1570
(440) 842-8230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34-00-4797
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0893001
—
OH
01
—
20021579
RAILROAD MEDICARE
—
01
—
P00380959
RAILROAD MEDICARE
OH
01
—
P00760393
RAILROAD MEDICARE
OH
Enumeration date
03/23/2006
Last updated
12/02/2016
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