| NPI | 1316018252 |
|---|---|
| Doing Business As | LAVIRI COMFORT SHOES & PEDORTHICS |
| Entity Type | Organization |
| Authorized Contact | RICHARD LAWRENCE YOUNG President 770-461-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-08-26 |