Poduska, Lara Sue
Poduska, Lara Sue is an sole proprietor health care provider with primary practice located at 24816 Aurora Rd Suite A, Bedford Heights OH 44146-1758. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Poduska, Lara Sue can be contacted via phone (216) 662-0027.Contact Information
Primary practice address
24816 Aurora Rd Suite A
Bedford Heights OH 44146-1758
Phone: (216) 662-0027
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 36002924P | Ohio |
Profile Details
NPI number | 1356346860 |
---|---|
LBN Legal business name | Poduska, Lara Sue |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 21st, 2005 |
Last updated | Dec 9th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356346860 | NPPES |
Ohio | MEDICAID | 0280093 |
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