Dr Laurence W Spivack Dpm INC

NPI #1801380241 in Mentor, Ohio

Provider Information

NPI Number: 1801380241
Entity Type: Organization
Organization Name: Dr Laurence W Spivack Dpm INC
Primary Specialty: Podiatrist
Enumeration Date: Jun 19, 2018
Last Updated: Jul 16, 2018

Practice Location

Address: 9330 HIDDEN GLEN DR
City: Mentor
State: Ohio
ZIP Code: 44060
Phone: (440) 487-3947

Authorized Official

Name: LAURENCE SPIVACK, DPM
Title: DPM/OWNER
Phone: (440) 487-3947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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