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Organization

LAUREL MEDICAL SUPPLIES, INC.

Active
Parent organization
LAUREL MEDICAL SUPPLIES, INC.
Other names
Golden Orthotics and Prosthetics
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAUREL MEDICAL SUPPLIES, INC.
Authorized official
MR. JOHN J LETIZIA ATS (PRESIDENT)
(800) 338-1702
Entity
Organization

Contact information

Practice address
1792 OLD ROUTE 220 NORTH, DUNCANSVILLE, PA 16635
(814) 317-5041
(814) 317-5044
Mailing address
1792 OLD ROUTE 220 NORTH, DUNCANSVILLE, PA 16635
(814) 317-5041
(814) 317-5044

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
6000007239
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001098403
PA
01
2149623
HIGHMARK BC/BS
Enumeration date
07/25/2008
Last updated
05/20/2011
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