Organization
LALOMA THIRTY-NINE INC
Active
Parent organization
LALOMA THIRTY-NINE INC. (DBA BREAK-N-BRACE)
Other names
Break-N-Brace
Organization subpart
Yes
Provider details
NPI number
Legal business name
LALOMA THIRTY-NINE INC. (DBA BREAK-N-BRACE)
Authorized official
MR. JOHN L LAROCCO (OWNER)
(610) 356-3730
Entity
Organization
Contact information
Practice address
2004 SPROUL ROAD, SUITE 200, BROOMALL, PA 19008
(610) 356-3730
(610) 471-0736
Mailing address
PO BOX 1826, BLUE BELL, PA 19422
(610) 356-3730
(610) 471-0736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030815330001
—
PA
Enumeration date
01/06/2006
Last updated
01/16/2023
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