Provider Demographics
NPI:1912196718
Name:LAPLANTE, CORY (CP)
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:
Last Name:LAPLANTE
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 NORTH ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-2269
Mailing Address - Country:US
Mailing Address - Phone:207-768-5348
Mailing Address - Fax:
Practice Address - Street 1:40 NORTH ST
Practice Address - Street 2:SUITE E
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2269
Practice Address - Country:US
Practice Address - Phone:207-768-5348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
6024660001Medicare NSC