ROBERTA'S LOVELY LADIES BOUTIQUE is a mastectomy fitter in Alton, IL. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. ROBERTA'S LOVELY LADIES BOUTIQUE NPI is 1174983050. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
603 W. DELMAR
ALTON, IL
ZIP 62002
Phone: (618) 467-0640
The provider's authorized official is Carol A Logan .
The authorized official title is Owner and has the following contact phone number (618) 467-0095.
The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/4/2016.