Organization
RSS LAURIE STRAND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA PEOPLES (ONBOARDING AND CREDENTIALING)
(817) 440-6060
Entity
Organization
Contact information
Practice address
7701 YORK AVE S STE 100, EDINA, MN 55435
(952) 679-6520
Mailing address
1050 TEXAN TRL STE 300, GRAPEVINE, TX 76051-3759
(817) 440-6060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/09/2018
Last updated
06/29/2018
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