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Organization
CENTER FOR VEIN RESTORATION IN, LLC
Active
Organization
CENTER FOR VEIN RESTORATION IN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA THOMAS (CREDENTIALING MANAGER)
(815) 254-1761
Entity
Organization
Contact information
Practice address
33 E COUNTY LINE RD STE D, GREENWOOD, IN 46143-1078
(855) 830-8346
Mailing address
7474 GREENWAY CENTER DR, SUITE 1000, GREENBELT, MD 20770-3504
(240) 965-3258
(240) 473-4321
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/23/2016
Last updated
06/18/2024
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