Organization
MIZELLORE MEDICAL SOLUTIONS LLC
Active
Other names
MZL PROSTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
MIZELLORE LEXIMA RN (OWNER)
(540) 494-4457
Entity
Organization
Contact information
Practice address
3755 WILMONT AVE NW, ROANOKE, VA 24017-6509
(540) 494-4457
Mailing address
4727 VALLEY VIEW BLVD NW # 1061, ROANOKE, VA 24012-2000
(540) 494-4457
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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