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Lilburn Shoe Repair & Pedorthics Inc
Durable Medical Equipment & Medical Supplies in Lilburn, Georgia
NPI 1063564367

Lilburn Shoe Repair & Pedorthics Inc is a Durable Medical Equipment & Medical Supplies based in Snellville, GA. Lilburn Shoe Repair & Pedorthics Inc practices in Lilburn, GA. The NPI Number for Lilburn Shoe Repair & Pedorthics Inc is 1063564367 and holds a License No. 9914 (Georgia).

The current practice location address for Lilburn Shoe Repair & Pedorthics Inc is 4760 Lawrenceville Hwy Nw, Lilburn, GA and can be reached out via phone at 770-931-0823.

Location: 4760 Lawrenceville Hwy Nw, Lilburn, GA, 30078-4161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063564367
Provider Name
Lilburn Shoe Repair & Pedorthics Inc
Credential
Provider Entity Type
Organization
Address
4760 Lawrenceville Hwy Nw, Lilburn, GA, 30078-4161
Phone Number
770-931-0823
Fax Number
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L937 01 GA KAISER PERMANENTE ID
institution
Provider Business Practice Location Address Details
Address
4760 Lawrenceville Hwy Nw
City
Lilburn
State
Georgia
Zip
30047-3858
Phone Number
770-931-0823
Fax Number
person
Provider Business Mailing Address Details
Address
4760 Lawrenceville Hwy Nw
City
Lilburn
State
Georgia
Zip
30047-3858
Phone Number
770-931-0823
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
9914 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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