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Contact Information

LALAS CRANIAL PROSTHETIC LLC
2224 JENNY DR
FAIRBURN, GA30213-4532
 Phone: 147-030-1951
 Fax:
 Website:
 

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
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LALAS CRANIAL PROSTHETIC LLC

NPI # 1750083267
LBN Legal business name LALAS CRANIAL PROSTHETIC LLC
Authorized official RYKEYLA BRIDGES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2023
Last updated 03/20/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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