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Organization

LA FUENTE SPECIALTY PROSTHETICS,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY LAFUENTE OCULARIST (OWNER)
(405) 620-0880
Entity
Organization

Contact information

Practice address
229 NW 9TH ST, OKLAHOMA CITY, OK 73102-2619
(405) 620-0880
Mailing address
229 NW 9TH ST, OKLAHOMA CITY, OK 73102-2619
(405) 620-0880

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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