Organization
PODIATRY ASSOCIATES OF LAKE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FARLEY (OFFICE MANAGER)
(440) 352-2201
Entity
Organization
Contact information
Practice address
161 E WASHINGTON ST, PAINESVILLE, OH 44077-3449
(440) 352-2201
(440) 352-0242
Mailing address
161 E WASHINGTON ST, PAINESVILLE, OH 44077-3449
(440) 352-2201
(440) 352-0242
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0822015
—
OH
Enumeration date
03/29/2007
Last updated
11/01/2021
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