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Organization

LANDRA PROSTHETICS AND ORTHOTICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN JAMES LANDRA CPO (PRESIDENT)
(734) 242-4050
Entity
Organization

Contact information

Practice address
526 N TELEGRAPH RD, MONROE, MI 48162-3337
(734) 242-4050
(734) 242-4090
Mailing address
PO BOX 34, TRENTON, MI 48183-0034
(734) 242-4050
(734) 242-4090

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
AME-0163611
MI
335E00000X
Prosthetic/Orthotic Supplier
Primary
AME-0163611
MI

Other

Enumeration date
01/29/2009
Last updated
01/19/2010
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