Lake County Foot & Ankle Associates, LLC
Podiatrist in Mentor, OH. Organization (NPI-2).
NPI number1225874175
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1225874175
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake County Foot & Ankle Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 261QP1100X | Clinic/Center, Podiatric | – | – |
Practice location
8334 Mentor Ave Ste 100Mentor, OH 44060-5757
Phone 440-357-8418 · Fax 440-255-9400
Mailing address
8334 Mentor Ave Ste 100Mentor, OH 44060-5757
Phone 440-357-8418 · Fax 440-255-9400
Authorized official
Theresa M Fauver
Manager
4403578418
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