Organization
LAWALL AT HERSHEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE T LAWALL CPO (PRESIDENT)
(800) 735-4627
Entity
Organization
Contact information
Practice address
883 S ARLINGTON AVE, HARRISBURG, PA 17109-5004
(717) 541-1605
(717) 541-1607
Mailing address
8031 FRANKFORD AVE, PHILADELPHIA, PA 19136-2736
(800) 735-4627
(215) 338-9579
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
6000007004
PA
Other
Enumeration date
03/28/2007
Last updated
12/27/2011
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