LADY IN LACE NPI 1417091042

NPI Information

NPI: 1417091042
Provider Name: LADY IN LACE
Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
410 QUEEN CITY AVE
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 349-5223
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LADY IN LACE is a prosthetics case management specialist in Tuscaloosa, AL. LADY IN LACE NPI is 1417091042. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 QUEEN CITY AVE
TUSCALOOSA, AL
ZIP 35401-552
Phone: (205) 349-5223
Fax: (205) 349-5217

The provider's authorized official is Faye Grow .
The authorized official title is Partner and has the following contact phone number (205) 349-5223.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 4/22/2008.

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
1	1744P3200X	Specialist	Prosthetics Case Management	354846	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	56040	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
2	009902435	MEDICAID	ALABAMA
3	0696630001	MEDICARE NSC

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: 4/28/2024

NPI Synchronization or Removal

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