Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1639293806 |
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| LBN Legal business name | AESTHETIC AND FAMILY PODIATRY CENTER | ||||||||
| Authorized official | LISA KLEMEYER - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/16/2007 | ||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||
| Identifiers |
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