Individual
LANCING PAUL MALUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
15 SOUTHMOOR CIR NE, KETTERING, OH 45429-2451
(937) 293-6896
(937) 293-9150
Mailing address
15 SOUTHMOOR CIR NE, KETTERING, OH 45429-2451
(937) 293-6896
(937) 293-9150
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-001679
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258859
—
OH
Enumeration date
06/10/2006
Last updated
11/13/2014
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