Didomenico, Lawrence

Didomenico, Lawrence is an individual health care provider with primary practice located at 8175 Market St , Boardman OH 44512-6244. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Didomenico, Lawrence can be contacted via phone (330) 629-8800.

Contact Information

Primary practice address
8175 Market St Boardman OH 44512-6244
Phone: (330) 629-8800
Fax: (330) 758-4914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 236 West Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC-00-3181 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-2513 Ohio

Profile Details

NPI number 1942207733
LBN Legal business name Didomenico, Lawrence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942207733 NPPES
Other P02513 THE HEALTH PLAN
MEDICAID 6420012 THE HEALTH PLAN
MEDICAID 01145989 THE HEALTH PLAN
Other 1013181-1045507 THE HEALTH PLAN
Other 4117771 THE HEALTH PLAN
MEDICAID 0712232 THE HEALTH PLAN
Other 539836 THE HEALTH PLAN

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