Provider Demographics
NPI:1841504917
Name:WEST, LORETTA H (COF)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:H
Last Name:WEST
Suffix:
Gender:F
Credentials:COF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2308
Mailing Address - Country:US
Mailing Address - Phone:781-383-8585
Mailing Address - Fax:
Practice Address - Street 1:135 KING ST
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1396
Practice Address - Country:US
Practice Address - Phone:781-383-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies