Lilburn Shoe Repair And Pedorthics Inc

LBN: Lilburn Shoe Repair & Pedorthics Inc
Lilburn Shoe Repair And Pedorthics Inc is an health care organization with primary practice located at 4760 Lawrenceville Hwy Nw Suite C-1, Lilburn GA 30047-3858. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lilburn Shoe Repair & Pedorthics Inc can be contacted via phone (770) 931-0823, or through Leandro, Jackie Yvonne via phone (770) 931-0823.

Contact Information

Primary practice address
4760 Lawrenceville Hwy Nw Suite C-1 Lilburn GA 30047-3858
Phone: (770) 931-0823
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leandro, Jackie Yvonne
Phone: (770) 931-0823

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 9914 Georgia

Profile Details

NPI number 1063564367
LBN Legal business name Lilburn Shoe Repair & Pedorthics Inc
DBA Doing business as Lilburn Shoe Repair And Pedorthics Inc
Authorized official Leandro, Jackie Yvonne
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Feb 17th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063564367 NPPES
Georgia Other L937 KAISER PERMANENTE ID

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