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LS CREATIVE AGENCY LLC NPI 1013515154


NPI Information

NPI: 1013515154
Provider Name: LS CREATIVE AGENCY LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1153 ROUTE 3 NORTH, SUITE 10
GAMBRILLS, MD
ZIP 21054
Phone: (202) 227-6264
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LS CREATIVE AGENCY LLC is a prosthetic orthotic supplier in Gambrills, MD. The provider is 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. LS CREATIVE AGENCY LLC NPI is 1013515154. The provider is registered as an organization entity type.

The provider's business location address is:

1153 ROUTE 3 NORTH, SUITE 10
GAMBRILLS, MD
ZIP 21054
Phone: (202) 227-6264

The provider's authorized official is Tiffany Bullock .
The authorized official title is Owner and has the following contact phone number (202) 227-6264.

The enumeration date for this NPI number is 10/12/2020 and was last updated on 10/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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