Organization
GREENWOOD SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WAYNE LEBLANC N/A (OWNER)
(337) 235-3746
Entity
Organization
Contact information
Practice address
434 JEFFERSON ST, LAFAYETTE, LA 70501-7014
(337) 235-3746
(337) 269-4748
Mailing address
434 JEFFERSON ST, LAFAYETTE, LA 70501-7014
(337) 235-3746
(337) 269-4748
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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