Organization
R & L ORTHOPEDIC SHOES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEBAN BOTELLO (PRESIDENT)
(225) 275-2632
Entity
Organization
Contact information
Practice address
11455 FLORIDA BLVD, BATON ROUGE, LA 70815-2404
(225) 275-2632
(225) 275-3238
Mailing address
11455 FLORIDA BLVD, BATON ROUGE, LA 70815-2404
(225) 275-2632
(225) 275-3238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305529
—
LA
Enumeration date
11/10/2005
Last updated
03/29/2011
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