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Individual

DR. LARA SUE PODUSKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
24816 AURORA RD, SUITE A, BEDFORD HEIGHTS, OH 44146-1758
(216) 662-0027
Mailing address
24816 AURORA RD, SUITE A, BEDFORD HEIGHTS, OH 44146-1758

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36002924P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0280093
OH
Enumeration date
06/21/2005
Last updated
12/09/2023
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