Individual
MR. NICHOLAS J CHELENZA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, L
Contact information
Practice address
1915 W GORE BLVD STE 1, LAWTON, OK 73501-3661
(580) 699-8690
(580) 699-8692
Mailing address
1915 W GORE BLVD STE 1, LAWTON, OK 73501-3661
(580) 699-8690
(580) 699-8692
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO86
OK
224P00000X
Prosthetist
Primary
LPO86
OK
Other
Enumeration date
08/12/2012
Last updated
01/15/2013
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