Organization
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DIDOMENICO DPM (MANAGING PARTNER)
(330) 629-8800
Entity
Organization
Contact information
Practice address
1700 E MARKET ST, SUITE 105, WARREN, OH 44483-6625
(330) 399-5577
(330) 399-6918
Mailing address
8175 MARKET ST, YOUNGSTOWN, OH 44512-6244
(330) 629-8800
(330) 758-4914
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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