Organization
DAVIS AND DAVIS INC
Active
Organization
DAVIS AND DAVIS INC
Active
Other names
LOURINES BREAST PROSTHESIS & WIGS
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SUE CRUFF CFM (PRESIDENT)
(540) 387-1057
Entity
Organization
Contact information
Practice address
355 E 3RD ST, SALEM, VA 24153-5019
(540) 387-1057
(540) 387-1966
Mailing address
355 E 3RD ST, SALEM, VA 24153-5019
(540) 387-1057
(540) 387-1966
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009190805
—
VA
Enumeration date
06/11/2008
Last updated
04/17/2017
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