Provider Demographics
NPI:1902405673
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 1:1973 HIGHWAY 34 HARRY J. LAWALL & SON INC.
Practice Address - Street 2:
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-0007
Practice Address - Country:US
Practice Address - Phone:732-655-9650
Practice Address - Fax:732-655-9651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier