Organization
LIZOTTE P&O ASSOCIATES LLC
Active
Other names
Washington Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS W LIZOTTE JR. LCPO (OWNER)
(253) 761-9255
Entity
Organization
Contact information
Practice address
5605 100TH ST SW, SUITE A, LAKEWOOD, WA 98499-2710
(253) 301-3500
(253) 302-3426
Mailing address
1902 S CEDAR ST, TACOMA, WA 98405-2301
(253) 761-9255
(253) 752-7829
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
0I00000335
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9036963
—
WA
Enumeration date
12/01/2011
Last updated
07/26/2013
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