Organization
ATTA J ASEF DPM LTD
Active
Other names
Lake Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
ATTA ASEF DPM (OWNER)
(440) 953-1003
Entity
Organization
Contact information
Practice address
761 E 200TH ST, EUCLID, OH 44119-2504
(440) 383-9627
(440) 383-9629
Mailing address
761 E 200TH ST, EUCLID, OH 44119-2504
(440) 383-9627
(440) 383-9629
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002887A
OH
Other
Enumeration date
12/28/2007
Last updated
05/12/2008
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