| NPI | 1811036395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J LAPOLLA President 330-856-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 36.003129) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC005955) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.002617) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC003389L) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-04-29 |