Organization
ANKLE AND FOOT CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DIDOMENICO DPM (DPM)
(330) 629-8800
Entity
Organization
Contact information
Practice address
#1 FOX LANE, CHESTER, WV 26034
(330) 385-2413
Mailing address
8175 MARKET ST, YOUNGSTOWN, OH 44512-6244
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008879-000
—
WV
Enumeration date
12/27/2007
Last updated
12/23/2008
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