Organization
LANDRA PROSTHETICS AND ORTHOTICS, INC
Active
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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