Individual provider · Type 1 NPI
Leporsche Marquita Cannon
Prosthetic/Orthotic Supplier · Warner Robins, GA
Practice location
205 Dental Dr Ste 11
Warner Robins, GA 31088-8216
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.
About NPI 1528789997
Leporsche Marquita Cannon's National Provider Identifier is 1528789997, issued on Sep 6, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Warner Robins, GA. The record was last updated on Sep 6, 2022.