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Organization

LAWRENCE F HELTON. DPM

Active
Other names
none
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRIS L COSTA (OFFICE MANAGER)
(541) 779-5263
Entity
Organization

Contact information

Practice address
761 GOLF VIEW DR UNIT A, MEDFORD, OR 97504-9655
(541) 779-5263
(541) 779-0555
Mailing address
761 GOLF VIEW DR UNIT A, MEDFORD, OR 97504-9655
(541) 779-5263
(541) 779-0555

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DP00090
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086397
OR
Enumeration date
02/12/2008
Last updated
03/19/2008
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