Lake Area Prosthetics & Orthotics

NPI 1275719551 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1275719551
Enumeration Date 01/16/2008
Last Updated 01/16/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RONNIE WAYNE RONNIE
Position ORTHOTIST/PROSTHETIST
Phone (337) 474-2989
Fax (337) 474-2996
Practice Location
505 W COLLEGE ST
LAKE CHARLES LA, 70605-1529, US
Phone (337) 474-2989
Fax (337) 474-2996
Business Location
PO BOX 224
LAKE CHARLES LA, 70602-0224, US
Phone (337) 474-2989
Fax (337) 474-2996
Toxanomy
Taxonomy Code 335E00000X
License State Louisiana
License Number 07-00010164
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According to our database, Lake Area Prosthetics & Orthotics NPI is 1275719551, taxonomy code is 335E00000X and license number is 07-00010164, license state is located at Louisiana. Lake Area Prosthetics & Orthotics physically located at 505 W College St, Lake Charles LA, 70605-1529. NPI Number 1033115704 has the healthcare provider type.

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1275719551 NPI number is provided on an as is basis without warranty of any kind. 1275719551 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Area Prosthetics & Orthotics are for informational purposes only.