Healthcare Provider Details

I. General information

NPI: 1336352038
Provider Name (Legal Business Name): LASER FOOT CARE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 OLENTANGY DR
AKRON OH
44333-2831
US

IV. Provider business mailing address

2495 OLENTANGY DR
AKRON OH
44333-2831
US

V. Phone/Fax

Practice location:
  • Phone: 330-835-3685
  • Fax:
Mailing address:
  • Phone: 330-835-3685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number36002070
License Number StateOH

VIII. Authorized Official

Name: DR. ARTHUR STEPHEN ARONSON
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 330-835-3685