Individual
RONNIE WAYNE BIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
505 W COLLEGE ST, LAKE CHARLES, LA 70605-1529
(337) 474-2989
(337) 474-2996
Mailing address
505 W COLLEGE ST, LAKE CHARLES, LA 70605-1529
(337) 474-2989
(337) 474-2996
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO02273
—
224P00000X
Prosthetist
CPO02273
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457396
—
LA
Enumeration date
07/31/2006
Last updated
11/28/2007
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