Organization
COLEMANS OF LOUISIANA INC
Active
Other names
Advantage Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA B COLEMAN (PRESIDENT OWNER)
(318) 219-8800
Entity
Organization
Contact information
Practice address
3821 SOUTHERN AVENUE, SHREVEPORT, LA 71106
(318) 219-8800
(318) 219-8801
Mailing address
3821 SOUTHERN AVENUE, SHREVEPORT, LA 71106
(318) 219-8800
(318) 219-8801
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537306
—
LA
01
—
C7891
BCBS
LA
Enumeration date
09/27/2006
Last updated
09/11/2025
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