Organization
LIZOTTE P & O ASSOCIATES LLC
Active
Other names
Washington Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WILLIAM LIZOTTE JR. LCPO (OWNER/ LCPO)
(253) 761-9255
Entity
Organization
Contact information
Practice address
1902 S CEDAR ST, TACOMA, WA 98405-2301
(253) 761-9255
(253) 752-7829
Mailing address
1902 S CEDAR ST, TACOMA, WA 98405-2301
(253) 761-9255
(253) 752-7829
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
WA
224P00000X
Prosthetist
Primary
0I00000335
WA
335E00000X
Prosthetic/Orthotic Supplier
602765858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9036963
—
WA
05
—
9061912
—
WA
Enumeration date
12/30/2008
Last updated
11/05/2013
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