| NPI | 1225204449 |
|---|---|
| Doing Business As | LENNYS SHOE SERVICE |
| Entity Type | Organization |
| Authorized Contact | MILTON R RODRIGUES Owner 215-925-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |