Organization
LEXINGTON PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M RUSSELL CPO (PRESIDENT/OWNER)
(803) 939-0097
Entity
Organization
Contact information
Practice address
205 MEDICAL CIR, WEST COLUMBIA, SC 29169-3653
(803) 939-0097
(803) 939-1103
Mailing address
205 MEDICAL CIR, WEST COLUMBIA, SC 29169-3653
(803) 939-0097
(803) 939-1103
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2080
—
SC
Enumeration date
11/10/2005
Last updated
10/15/2008
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