Organization
LADY LIKE LINGERIE, LLC
Active
Parent organization
LADY LIKE LINGERIE, LLC
Other names
Lady Like Mastectomy Boutique
Organization subpart
Yes
Provider details
NPI number
Legal business name
LADY LIKE LINGERIE, LLC
Authorized official
MRS. MARIA CORTINAS CFM (MANAGING MEMBER)
(210) 655-1300
Entity
Organization
Contact information
Practice address
2379 NE LOOP 410, SUITE 3B, SAN ANTONIO, TX 78217-5666
(210) 655-1300
Mailing address
2379 NE LOOP 410, SUITE 3B, SAN ANTONIO, TX 78217-5666
(210) 655-1300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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