Provider Demographics
NPI:1154128064
Name:LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC
Entity type:Organization
Organization Name:LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTH OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FRANIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:440-357-8418
Mailing Address - Street 1:8334 MENTOR AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5757
Mailing Address - Country:US
Mailing Address - Phone:440-357-8418
Mailing Address - Fax:440-255-9400
Practice Address - Street 1:119 BROAD ST
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-1851
Practice Address - Country:US
Practice Address - Phone:330-334-1534
Practice Address - Fax:440-255-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty