Organization
LOUISIANA PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NELSON (OWNER/PRESIDENT)
(225) 726-7204
Entity
Organization
Contact information
Practice address
4451 BLUEBONNET BLVD STE C, BATON ROUGE, LA 70809-9647
(225) 726-7204
Mailing address
4451 BLUEBONNET BLVD STE C, BATON ROUGE, LA 70809-9647
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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