Organization · Type 2 NPI

Lilburn Shoe Repair & Pedorthics Inc

Durable Medical Equipment & Medical Supplies · Lilburn, GA

NPI number 1063564367 Active

Practice location

4760 Lawrenceville Hwy NW, Suite C-1
Lilburn, GA 30047-3858

Call (770) 931-0823 Map

Mailing address

2605 Sims Crest Ct
Snellville, GA 30078-4161

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X9914 (GA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1063564367

Lilburn Shoe Repair & Pedorthics Inc's National Provider Identifier is 1063564367, issued on Jan 17, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Lilburn, GA. The record was last updated on Feb 17, 2021.