Organization · Type 2 NPI
Lebo's Shoe Store, Inc
Prosthetic/Orthotic Supplier · Charlotte, NC
Practice location
7300 E Independence Blvd
Charlotte, NC 28227-9400
Mailing address
2321 Crown Centre Dr
Charlotte, NC 28227-7705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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About NPI 1013167253
Lebo's Shoe Store, Inc's National Provider Identifier is 1013167253, issued on Sep 24, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 24, 2008.