Organization
LUCKY SHOES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LUCK (VP)
(330) 836-9542
Entity
Organization
Contact information
Practice address
4840 EVERHARD RD NW, CANTON, OH 44718-2413
(330) 494-7575
Mailing address
4840 EVERHARD RD NW, CANTON, OH 44718-2413
(330) 494-7575
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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