| NPI | 1447949755 |
|---|---|
| Doing Business As | LANEYS RX WIGS |
| Entity Type | Organization |
| Authorized Contact | TALANDRA GIBONEY Owner 615-810-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |