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Organization

LUMEN ORTHOTICS & PROSTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER T GEORGE CO (CERTIFIED ORTHOTIST)
(260) 450-4999
Entity
Organization

Contact information

Practice address
8902 STOCKBRIDGE PL, FORT WAYNE, IN 46804-3454
(460) 450-4999
Mailing address
8902 STOCKBRIDGE PL, FORT WAYNE, IN 46804-3454
(460) 450-4999

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
04/16/2024
Last updated
01/22/2025
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