Prosthetic Laboratories of Rochester INC
NPI #1023009867 in Marshfield, Wisconsin
Provider Information
- NPI Number
- 1023009867
- Entity Type
- Organization
- Organization Name
- Prosthetic Laboratories of Rochester INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GMS OF ROCHESTER, INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Nov 1, 2005
- Last Updated
- Apr 15, 2008
Practice Location
- Address
- 1517 N OAK AVE
- Address 2
- SUITE B
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449-1301
- Phone
- (715) 384-8030
Authorized Official
- Name
- RANDY S LACEY
- Title
- CEO
- Phone
- (507) 281-5250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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