Organization
TERRYS WIGS
Active
Organization
TERRYS WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE XAVIER LANIER SR. (MANAGER)
(313) 732-8512
Entity
Organization
Contact information
Practice address
19139 LIVERNOIS AVE, DETROIT, MI 48221-1715
(313) 863-4014
Mailing address
19139 LIVERNOIS AVE, DETROIT, MI 48221-1715
(313) 863-4014
(313) 863-4014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/27/2025
Last updated
12/27/2025
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