Organization
LL VIRTUAL SERVICES
Active
Other names
Latra Laces
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRICE LITTLES (OWNER)
(404) 838-1417
Entity
Organization
Contact information
Practice address
4630 HIGH GATE LN, LITHONIA, GA 30038-3621
(404) 590-1074
(833) 216-6562
Mailing address
4630 HIGH GATE LN, LITHONIA, GA 30038-3621
(404) 590-1074
(833) 216-6562
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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