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Organization

DR LAURENCE W SPIVACK DPM INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURENCE SPIVACK DPM (DPM/OWNER)
(440) 487-3947
Entity
Organization

Contact information

Practice address
9330 HIDDEN GLEN DR, MENTOR, OH 44060
(440) 487-3947
(513) 858-7827
Mailing address
9330 HIDDEN GLEN DR, MENTOR, OH 44060-7362
(440) 487-3947
(513) 858-7827

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001535
OH

Other

Enumeration date
06/19/2018
Last updated
07/16/2018
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