Organization · Type 2 NPI
Lalas Cranial Prosthetic LLC
Customized Equipment (DME) · Fairburn, GA
NPI number
1750083267
Active
Practice location
2224 Jenny Dr
Fairburn, GA 30213-4532
Mailing address
2224 Jenny Dr, Fairburn, Ga 30213
Fairburn, GA 30213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
| Nursing Facility Supplies (DME) | 332BN1400X | None listed |
Customized Equipment (DME): Definition to come...
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About NPI 1750083267
Lalas Cranial Prosthetic LLC's National Provider Identifier is 1750083267, issued on Mar 20, 2023. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Fairburn, GA. The record was last updated on Mar 20, 2023.