Organization
DONNA'S LINGERIE & SWIMWEAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA PESSON MIER (PRESIDENT)
(337) 477-1804
Entity
Organization
Contact information
Practice address
3518 RYAN STREET, LAKE CHARLES, LA 70605-6526
(337) 477-1804
(337) 477-5431
Mailing address
3518 RYAN STREET, LAKE CHARLES, LA 70605-6526
(337) 477-1804
(337) 477-5431
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
0700004274
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7211791790
TAX ID
LA
Enumeration date
05/24/2007
Last updated
05/07/2015
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