Healthcare Provider Details

I. General information

NPI: 1972642569
Provider Name (Legal Business Name): PARR PROSTHETICS AND ORTHOPEDIC AIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 COMMERCIAL SQ
SLIDELL LA
70461-5418
US

IV. Provider business mailing address

172 COMMERCIAL SQ
SLIDELL LA
70461-5418
US

V. Phone/Fax

Practice location:
  • Phone: 985-649-2010
  • Fax: 985-847-9205
Mailing address:
  • Phone: 985-649-2010
  • Fax: 985-847-9205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateLA

VIII. Authorized Official

Name: LARRY LAUGHLIN
Title or Position: PRESIDENT
Credential:
Phone: 985-649-2010