Individual
MR. LARRY LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
11301 WILSHIRE BLVD, BUILDING 304 PROSTHETICS, LOS ANGELES, CA 90073-1003
(310) 268-3875
Mailing address
11301 WILSHIRE BLVD, BUILDING 304 PROSTHETICS, LOS ANGELES, CA 90073-1003
(310) 268-3875
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO879
VA
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
08/28/2008
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