Provider Demographics
NPI:1326217357
Name:LAFRANCE, TONY L (CPO)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:L
Last Name:LAFRANCE
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 TELEGRAPH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1310
Mailing Address - Country:US
Mailing Address - Phone:510-658-2062
Mailing Address - Fax:510-658-7779
Practice Address - Street 1:6001 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1310
Practice Address - Country:US
Practice Address - Phone:510-658-2062
Practice Address - Fax:510-658-7779
Is Sole Proprietor?:No
Enumeration Date:2008-02-24
Last Update Date:2008-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CPO01695OtherABC