| Organization Name: | PODIATRY ASSOCIATES OF LAKE COUNTY, INC. |
| NPI Number: | 1134248172 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD R FARLEY (OWNER) |
| Mailing Address: | 161 E Washington St Painesville |
| State: | OH US |
| Postal Code: | 440773449 |
| Phone Number: | 4403522201 |
| Fax Number: | 4403520242 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 12/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |