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Cocos Shoe Store Inc
Prosthetic/Orthotic Supplier in Lake Charles, Louisiana
NPI 1063561256

Cocos Shoe Store Inc is a Prosthetic/Orthotic Supplier based in Lake Charles, LA. Cocos Shoe Store Inc practices in Lake Charles, LA. The NPI Number for Cocos Shoe Store Inc is 1063561256 and holds a License No. (Louisiana).

The current practice location address for Cocos Shoe Store Inc is 2314 Ryan St, Lake Charles, LA and can be reached out via phone at 337-439-4751 and via fax at 337-439-1395.

Location: 2314 Ryan St, Lake Charles, LA, 70601-7320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063561256
Provider Name
Cocos Shoe Store Inc
Credential
Provider Entity Type
Organization
Address
2314 Ryan St, Lake Charles, LA, 70601-7320
Phone Number
337-439-4751
Fax Number
337-439-1395
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1392383 05 LA
institution
Provider Business Practice Location Address Details
Address
2314 Ryan St
City
Lake Charles
State
Louisiana
Zip
70601-7320
Phone Number
337-439-4751
Fax Number
337-439-1395
person
Provider Business Mailing Address Details
Address
2314 Ryan St
City
Lake Charles
State
Louisiana
Zip
70601-7320
Phone Number
337-439-4751
Fax Number
337-439-1395
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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