| NPI | 1710005988 |
|---|---|
| Doing Business As | HAWLEY LANE SHOES |
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE LEVY Pedorthist 203-847-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-17 |