Jaubert Prosthetics, LLC
Prosthetic/Orthotic Supplier in Lake Charles, LA. Organization (NPI-2).
NPI number1780142836
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1780142836
- Entity type
- Organization (NPI-2)
- Legal business name
- Jaubert Prosthetics, LLC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2019
- Last updated
- Apr 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
1625 Ryan St Ste CLake Charles, LA 70601-5965
Phone 337-437-6134 · Fax 337-437-6135
Mailing address
1625 Ryan St Ste CLake Charles, LA 70601-5965
Phone 337-437-6134 · Fax 337-437-6135
Authorized official
Jesse Benitez, Jr
President
3374376134
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