Organization
THE MEDICAL COLLECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RICKI LACY (OWNER)
(317) 759-7979
Entity
Organization
Contact information
Practice address
4556 N SHADELAND AVE, INDIANAPOLIS, IN 46226-3835
(317) 759-7979
Mailing address
4556 N SHADELAND AVE, INDIANAPOLIS, IN 46226-3835
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
06/02/2022
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