Dr. Lara Sue Poduska
Primary Podiatric Medicine
24816 Aurora Rd Suite A
Bedford Heights
, Ohio 44146-1758
Dr. Lara Sue Poduska
Primary Podiatric Medicine
24816 Aurora Rd Suite A
Bedford Heights
, Ohio 44146-1758
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Lara Sue Poduska
- 24816 Aurora Rd Suite A
- Bedford Heights, OH
- Zip : 44146-1758
- Phone :
Second Address
- Dr. Lara Sue Poduska
- 24816 Aurora Rd Suite A
- Bedford Heights, OH
- Zip : 44146-1758
- Phone : (216) 662-0027
Reviews
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Is Dr. Lara Sue Poduska a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 36002924P | OH |
National Provider Identifier
| NPI | 1356346860 |
|---|---|
| Provider Name | Dr. Lara Sue Poduska |
| First Address | Bedford Heights, OH 44146-1758 |
| Second Address | Bedford Heights, OH 44146-1758 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 05/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0280093 | (05) | OH |
| U61733 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.