Organization
LAURENCE OF OAKLAND
Active
Other names
Laurence Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W TODD (AUTHORIZED AGENT)
(916) 718-8252
Entity
Organization
Contact information
Practice address
3324 WEBSTER ST, OAKLAND, CA 94609
(510) 658-2062
(510) 658-7779
Mailing address
3161 PUTNAM BLVD STE A, PLEASANT HILL, CA 94523-4650
(510) 658-2062
(510) 658-7779
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFC000120
—
CA
Enumeration date
10/07/2005
Last updated
02/12/2019
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