# LASTING MPRESSIONS SALON AND SPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013527274
- **Authorized official:** MELISSA L MALONE (OWNER)
- **Authorized official phone:** (850) 619-5664

## Contact information

- **Practice address:** 312 E NINE MILE RD STE 17, PENSACOLA, FL 32514-1475
- **Practice address phone:** (850) 760-2454
- **Mailing address:** 312 E NINE MILE RD STE 17, PENSACOLA, FL 32514-1475
- **Mailing address phone:** (850) 760-2454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 08/03/2020