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NPI Code Detail

MEDICARE: DR. LEE DAVID PEARLMAN DPM

MEDICARE: DR. LEE DAVID PEARLMAN DPM
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
1213ES0131XFoot Surgery Podiatrist36002316OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
210797384OTHEROHCAQH

General Provider Information

NPI Number : 1255327607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE DAVID PEARLMAN DPM
Provider Business Mailing Address
First Line : 1045 BEECHER XING N
Second Line : SUITE A
City : GAHANNA
State : OH
Zip : 43230-4573
Country : US
Telephone Number : 614-304-0019
Fax Number : 614-304-0023
Provider Business Practice Location Address
First Line : 5920 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-6881
Country : US
Telephone Number : 614-891-9994
Fax Number : 614-891-4141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 05/11/2017

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