MEDICARE: PODIATRY ASSOCIATES OF LAKE COUNTY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134248172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODIATRY ASSOCIATES OF LAKE COUNTY, INC.

Provider Business Mailing Address
First Line	:	161 E WASHINGTON ST
Second Line	:
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-3449
Country	:	US
Telephone Number	:	440-352-2201
Fax Number	:	440-352-0242

Provider Business Practice Location Address
First Line	:	161 E WASHINGTON ST
Second Line	:
City	:	PAINESVILLE
State	:	OH
Zip	:	44077-3449
Country	:	US
Telephone Number	:	440-352-2201
Fax Number	:	440-352-0242

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARY FARLEY
Credential	:
Telephone Number	:	440-352-2201

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	11/01/2021

Similar Medicare Providers

1093783466 — DONALD R FARLEY DPM
Practice Location Address:

161 E WASHINGTON ST
PAINESVILLE, OH
44077-3449

Practice Phone: 440-352-2201
Practice Fax: 440-352-0242

1326571308 — RANDI JEAN KEEFE D.P.M.
Practice Location Address:

161 E WASHINGTON ST
PAINESVILLE, OH
44077-3449

Practice Phone: 440-352-2201
Practice Fax: 440-352-0242

1275489676 — OLGA KELLAR
Practice Location Address:

639 CHERRYWOOD LN
PAINESVILLE, OH
44077-6177

Practice Phone: 440-796-7074
Practice Fax:

1972450658 — STEVEN HOWARD
Practice Location Address:

54 S STATE ST
PAINESVILLE, OH
44077-3445

Practice Phone: 440-578-8200
Practice Fax:

1679428999 — ELIZABETH KWIECIEN
Practice Location Address:

1916 THORNWOOD LN
PAINESVILLE, OH
44077-6153

Practice Phone: 440-429-2222
Practice Fax:

1962406355 — DENNIS VELASGUEZ LAGMAN MD
Practice Location Address:

10 E WASHINGTON ST
PAINESVILLE, OH
44077-3460

Practice Phone: 440-354-2400
Practice Fax:

Directions to “PODIATRY ASSOCIATES OF LAKE COUNTY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.