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Organization

LAVISH BY A&B

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRITTANY LANE (MANAGER)
(786) 247-0572
Entity
Organization

Contact information

Practice address
14650 SW 104TH AVE, MIAMI, FL 33176-7716
(786) 247-0572
Mailing address
14650 SW 104TH AVE, MIAMI, FL 33176-7716
(786) 247-0572

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
02/08/2024
Last updated
02/08/2024
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