| NPI | 1043379365 |
|---|---|
| Doing Business As | LSI SHOE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JULIET C BURK Owner 918-456-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 202) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 201) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |