NPI 1063561256

Cocos Shoe Store INC

Organisation Prosthetic/Orthotic Supplier Lake Charles, LA

Practice location

Address: 2314 Ryan St, Lake Charles, LA 70601-7320
Phone: (337) 439-4751
Fax: (337) 439-1395

Authorised official

Name: Robert J Coco
Title: President
Phone: (337) 439-4751

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1063561256
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 11 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.