Prosthetic Laboratories of Rochester, INC

NPI #1427234681 in Bemidji, Minnesota

Provider Information

NPI Number
1427234681
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
Jan 17, 2008
Last Updated
Sep 17, 2008

Practice Location

Address
1300 ANNE ST NW
ZIP Code
56601-5103
Phone
(218) 333-6966

Authorized Official

Name
RANDY LACEY
Title
CEO
Phone
(507) 536-6100

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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