Organization
FACEDOWN RENTAL, LLC
Active
Other names
Facedown Rental, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LYNNE LUCKOW LMT, NMT (PRESIDENT)
(414) 476-9008
Entity
Organization
Contact information
Practice address
W188N11770 MAPLE RD # DOOR4, GERMANTOWN, WI 53022-2410
(414) 476-9008
(414) 476-9089
Mailing address
W156N9666 PILGRIM RD, GERMANTOWN, WI 53022-5102
(414) 476-9008
(414) 476-9089
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
07/19/2019
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