| NPI | 1720258999 |
|---|---|
| Doing Business As | LINGERIE AND BRIDAL BY LISA |
| Entity Type | Organization |
| Authorized Contact | NARISA PONGKLANG Owner 973-299-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-06-26 |