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Organization

BOMBEAU LUX, LLC

Active
Other names
Sydnie Stennis
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SYDNIE STENNIS (CEO)
(708) 829-2233
Entity
Organization

Contact information

Practice address
9 LEIMS RD, PARK FOREST, IL 60466
(708) 829-2233
(217) 394-1376
Mailing address
20015 S LAGRANGE RD # 1160, FRANKFORT, IL 60423-3104
(217) 394-1376

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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