Organization
GRACE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE S LUKACS (OWNER)
(614) 818-3301
Entity
Organization
Contact information
Practice address
6243 ANDREWS DR E, WESTERVILLE, OH 43082-9313
(614) 818-3301
(614) 818-3302
Mailing address
6243 ANDREWS DR E, WESTERVILLE, OH 43082-9313
(614) 818-3301
(614) 818-3302
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
04/20/2008
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