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Organization
FACEDOWN RENTAL, LLC
Active
Organization
FACEDOWN RENTAL, LLC
Active
Other names
Facedown Rental, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LYNNE LUCKOW LMT, NMT (PRESIDENT)
(414) 476-9008
Entity
Organization
Contact information
Practice address
W188N11770 MAPLE RD # DOOR4, GERMANTOWN, WI 53022-2410
(414) 476-9008
(414) 476-9089
Mailing address
W156N9666 PILGRIM RD, GERMANTOWN, WI 53022-5102
(414) 476-9008
(414) 476-9089
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
07/19/2019
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