| NPI | 1346361128 |
|---|---|
| Former Legal Business Name | LAUREL ORTHOPEDIC EVALUATIONS |
| Entity Type | Organization |
| Authorized Contact | KENNETH CHARLES PEACOCK President 856-235-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-06-11 |