Organization
ANKLE AND FOOT CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DIDOMENICO (MANAGING PARTNER)
(330) 629-8800
Entity
Organization
Contact information
Practice address
163 W MAIN ST, ANDOVER, OH 44003-9319
(440) 293-6765
Mailing address
163 W MAIN ST, ANDOVER, OH 44003-9319
(440) 293-6765
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
02/19/2014
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