Organization
HEALTHY HAIR SOLUTIONS HAIR LOSS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVONNE D BOOKER OWNER (OWNER/MEMBER)
(863) 688-3704
Entity
Organization
Contact information
Practice address
1549 LAKELAND HILLS BLVD STE A, LAKELAND, FL 33805-3207
(863) 699-3704
Mailing address
1549 LAKELAND HILLS BLVD STE A, LAKELAND, FL 33805-3207
(863) 699-3704
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CE99890011
FL
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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