Organization
LARSCORP LLC
Active
Other names
alliance prosthetics and orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON LEE COKER C.P.O. (OWNER)
(541) 788-3376
Entity
Organization
Contact information
Practice address
735 SW 11TH ST STE 103, REDMOND, OR 97756-2660
(541) 788-3376
(541) 388-0818
Mailing address
3166 NW COLONIAL DR, BEND, OR 97703-5518
(541) 788-3376
(541) 388-0818
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ABCCPO#2286
OR
Other
Enumeration date
12/07/2010
Last updated
02/17/2020
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