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Divine Lash & Beauty Bar
Prosthetic/Orthotic Supplier in Mequon, Wisconsin
NPI 1902546187

Divine Lash & Beauty Bar is a Prosthetic/Orthotic Supplier based in Mequon, WI. Divine Lash & Beauty Bar practices in Mequon, WI. The NPI Number for Divine Lash & Beauty Bar is 1902546187 and holds a License No. (Wisconsin).

The current practice location address for Divine Lash & Beauty Bar is 10520 N Baehr Rd Ste M, Mequon, WI and can be reached out via phone at 262-417-8385 and via fax at 414-202-6350.

Location: 10520 N Baehr Rd Ste M, Mequon, WI, 53092-6701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902546187
Provider Name
Divine Lash & Beauty Bar
Credential
Provider Entity Type
Organization
Address
10520 N Baehr Rd Ste M, Mequon, WI, 53092-6701
Phone Number
262-417-8385
Fax Number
414-202-6350
Provider Enumeration Date
03/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10520 N Baehr Rd Ste M
City
Mequon
State
Wisconsin
Zip
53092-6701
Phone Number
262-417-8385
Fax Number
414-202-6350
person
Provider Business Mailing Address Details
Address
10520 N Baehr Rd Ste M
City
Mequon
State
Wisconsin
Zip
53092-6701
Phone Number
262-417-8385
Fax Number
414-202-6350
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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