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Organization

LAKE AREA PROSTHETICS & ORTHOTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONNIE WAYNE BIAS C.P.O. (ORTHOTIST/PROSTHETIST)
(337) 474-2989
Entity
Organization

Contact information

Practice address
505 W COLLEGE ST, LAKE CHARLES, LA 70605-1529
(337) 474-2989
(337) 474-2996
Mailing address
PO BOX 4571, LAKE CHARLES, LA 70606-4571
(337) 474-2989
(337) 474-2996

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
07-00010164
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457396
LA
Enumeration date
01/16/2008
Last updated
09/06/2023
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