NPI | 1700162526 |
---|---|
Doing Business As | LOUISVILLE PROSTHETICS |
Entity Type | Organization |
Authorized Contact | ROBERT WAYNE LUCKETT Operations Manager, Cert. Prostheti 502-584-2959 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NA) |
Enumeration Date | 2011-10-25 |
Last Update Date | 2011-10-25 |