| NPI | 1114996832 |
|---|---|
| Doing Business As | LIFE-LIKE LABORATORY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL FANCHER Owner 972-620-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2022-06-09 |