Individual
DR. STANLEY LUKSENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
21724 LORAIN RD, FAIRVIEW PARK, OH 44126-3334
(440) 356-1118
(216) 464-9242
Mailing address
21724 LORAIN RD, FAIRVIEW PARK, OH 44126-3334
(440) 356-1118
(216) 464-9242
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36 002120
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0577620
—
OH
Enumeration date
02/06/2007
Last updated
05/11/2011
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