Organization
STEP LIVELY FOOT AND ANKLE CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE PEARLMAN D.P.M (PRESIDENT)
(614) 304-0019
Entity
Organization
Contact information
Practice address
1030 REFUGEE RD, SUITE 295, PICKERINGTON, OH 43147-9755
(614) 545-4321
(614) 545-4324
Mailing address
1045 BEECHER XING N, STE A, GAHANNA, OH 43230-4558
(614) 304-0019
(614) 304-0023
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0753340
—
OH
01
—
CB1401
MEDICARE RAILROAD
OH
Enumeration date
07/02/2008
Last updated
07/23/2019
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