National Provider Identifier Database

LALAS CRANIAL PROSTHETIC LLC
Customized Equipment


Contact Information

LALAS CRANIAL PROSTHETIC LLC
2224 JENNY DR
FAIRBURN, GA30213-4532
Phone: 147-030-1951
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Facility Supplies 332BN1400X

* Indicates primary specialty

NPI Profile & details for LALAS CRANIAL PROSTHETIC LLC

NPI Number 1750083267
Legal business name
LBN
LALAS CRANIAL PROSTHETIC LLC
Authorized official RYKEYLA BRIDGES - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/20/2023
Last updated 03/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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