Organization
THE LAUREN FORTE HAIR LOSS REPLACEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FORTE CERTIFIED HAIR LOSS (CERTIFIED HAIR LOSS SPECIALIST)
(769) 798-1999
Entity
Organization
Contact information
Practice address
143 LAURA LAKE RD, VICKSBURG, MS 39180-9787
(769) 798-1999
Mailing address
143 LAURA LAKE RD, VICKSBURG, MS 39180-9787
(769) 798-1999
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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