Organization
LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M FAUVER (MANAGER)
(440) 357-8418
Entity
Organization
Contact information
Practice address
8334 MENTOR AVE STE 100, MENTOR, OH 44060-5757
(440) 357-8418
(440) 255-9400
Mailing address
8334 MENTOR AVE STE 100, MENTOR, OH 44060-5757
(440) 357-8418
(440) 255-9400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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