NPI | 1649430851 |
---|---|
Doing Business As | LOURINES BREAST PROSTHESIS & WIGS |
Entity Type | Organization |
Authorized Contact | KATHY SUE CRUFF President 540-387-1057 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2008-06-11 |
Last Update Date | 2017-04-17 |