institution
Lady In Lace
Prosthetics Case Management in Tuscaloosa, Alabama
NPI 1417091042

Lady In Lace is a Prosthetics Case Management based in Tuscaloosa, AL and is specialized in Prosthetics Case Management. Lady In Lace practices in Tuscaloosa, AL. The NPI Number for Lady In Lace is 1417091042 and holds a License No. 354846 (Alabama).

The current practice location address for Lady In Lace is 410 Queen City Ave, Tuscaloosa, AL and can be reached out via phone at 205-349-5223 and via fax at 205-349-5217.

Location: 410 Queen City Ave, Tuscaloosa, AL, 35401-1552
institution
Provider Profile Details
NPI Number
1417091042
Provider Name
Lady In Lace
Credential
Provider Entity Type
Organization
Address
410 Queen City Ave, Tuscaloosa, AL, 35401-1552
Phone Number
205-349-5223
Fax Number
205-349-5217
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56040 01 AL BLUE CROSS BLUE SHIELD
009902435 05 AL
institution
Provider Business Practice Location Address Details
Address
410 Queen City Ave
City
State
Zip
35401-1552
Phone Number
205-349-5223
Fax Number
205-349-5217
person
Provider Business Mailing Address Details
Address
410 Queen City Ave
City
State
Zip
35401-1552
Phone Number
205-349-5223
Fax Number
205-349-5217
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
354846 (Alabama)
Definition
Definition to come...
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