Dr Laurence W Spivack Dpm INC
Podiatrist in Mentor, OH. Organization (NPI-2).
NPI number1801380241
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1801380241
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Laurence W Spivack Dpm INC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2018
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 36001535 | OH | Yes |
Practice location
9330 Hidden Glen DrMentor, OH 44060
Phone 440-487-3947 · Fax 513-858-7827
Mailing address
9330 Hidden Glen DrMentor, OH 44060-7362
Phone 440-487-3947 · Fax 513-858-7827
Authorized official
Laurence Spivack
Dpm/Owner
4404873947
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