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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1356346860 NPPES
Ohio MEDICAID 0280093

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