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Individual

CLEVE RICHARD PILAKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4102 W 6TH ST STE A, LAWRENCE, KS 66049-4626
(910) 795-6029
Mailing address
4102 W 6TH ST STE A, LAWRENCE, KS 66049-4626
(910) 795-6029

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00657
IA
213E00000X
Podiatrist
Primary
12-00392
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10372
WELLMARK PROVIDER NUMBER
IA
05
1158147
IA
Enumeration date
10/20/2005
Last updated
03/10/2026
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