Provider Demographics
NPI:1518573435
Name:HARRY J. LAWALL & SON, INC.
Entity Type:Organization
Organization Name:HARRY J. LAWALL & SON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LAWALL
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:215-338-6611
Mailing Address - Street 1:3000 CABOT BLVD W
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1800
Mailing Address - Country:US
Mailing Address - Phone:215-338-6611
Mailing Address - Fax:215-338-7598
Practice Address - Street 1:21 N MAIN ST ,HARRY J. LAWALL & SON, INC
Practice Address - Street 2:SUITE 3
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1561
Practice Address - Country:US
Practice Address - Phone:484-863-9201
Practice Address - Fax:484-863-9066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRY J. LAWALL & SON, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-16
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier