Cocos Shoe Store INC
NPI #1063561256 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1063561256
- Entity Type
- Organization
- Organization Name
- Cocos Shoe Store INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Mar 11, 2008
Practice Location
- Address
- 2314 RYAN ST
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-7320
- Phone
- (337) 439-4751
Authorized Official
- Name
- ROBERT J COCO, PEDORTHIST
- Title
- PRESIDENT
- Phone
- (337) 439-4751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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