Organization
LOVELY MEDICAL WIGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA S BLOW (CEO)
(757) 291-7272
Entity
Organization
Contact information
Practice address
3519 IBERIS LN, TOANO, VA 23168-9553
(757) 291-7272
(757) 291-7272
Mailing address
3519 IBERIS LN, TOANO, VA 23168-9553
(757) 291-7272
(757) 291-7272
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
10/08/2025
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