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Organization
INTEGRA PARTNERS LLC
Active
Organization
INTEGRA PARTNERS LLC
Active
Other names
Integra Partners IPA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RUSSO (GENERAL CONSEL)
(718) 819-3920
Entity
Organization
Contact information
Practice address
3221 W. BIG BEAVER RD., STE.211, TROY, MI 48084-2811
(718) 369-0012
(718) 287-1229
Mailing address
P.O. BOX 81580, ROCHESTER, MI 48308
(718) 369-0012
(718) 287-1229
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/25/2006
Last updated
11/17/2025
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