Organization
LIDIA LEMARROY
Active
Other names
JOLIS ORTHOPEDIC SHOES @ MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
LIDIA LEMARROY CERTIFIED PEDORTHIST (OWNER)
(956) 969-1323
Entity
Organization
Contact information
Practice address
309 S TEXAS BLVD, WESLACO, TX 78596-6113
(956) 969-1323
(956) 968-8803
Mailing address
309 S TEXAS BLVD, WESLACO, TX 78596-6113
(956) 969-1323
(956) 968-8803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010012501
—
TX
05
—
011394601
—
TX
01
—
510799
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/11/2006
Last updated
12/13/2021
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