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Organization

RUSSELL LAUREN & CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DARLENE M PUMO PROSTHETICS PERSONNE (VICE PRESIDENT)
(610) 272-4012
Entity
Organization

Contact information

Practice address
329 WEST JOHNSON HIGHWAY, EAST NORRITON, PA 19401
(610) 272-4012
(610) 272-1892
Mailing address
329 WEST JOHNSON HIGHWAY, EAST NORRITON, PA 19401
(610) 272-4012
(610) 272-1892

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
PA

Other

Enumeration date
11/14/2006
Last updated
08/22/2020
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