Organization
LAMOOR BEAUTY SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALWIN MOORE (PRESIDENT)
(405) 427-6571
Entity
Organization
Contact information
Practice address
2214 N MARTIN LUTHER KING AVE, OKLAHOMA CITY, OK 73111-2404
(405) 427-6571
(405) 427-5680
Mailing address
PO BOX 11322, OKLAHOMA CITY, OK 73136-0322
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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