Provider Demographics
NPI:1972642569
Name:PARR PROSTHETICS AND ORTHOPEDIC AIDS
Entity Type:Organization
Organization Name:PARR PROSTHETICS AND ORTHOPEDIC AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-649-2010
Mailing Address - Street 1:172 COMMERCIAL SQ
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5418
Mailing Address - Country:US
Mailing Address - Phone:985-649-2010
Mailing Address - Fax:985-847-9205
Practice Address - Street 1:172 COMMERCIAL SQ
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5418
Practice Address - Country:US
Practice Address - Phone:985-649-2010
Practice Address - Fax:985-847-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1199311Medicaid
LA1199311Medicaid