Organization
LIONESS WIGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDWINCE LOUIS (OWNER)
(407) 732-3790
Entity
Organization
Contact information
Practice address
413 HOPE CIR, ORLANDO, FL 32811-1507
(407) 732-3790
Mailing address
413 HOPE CIR, ORLANDO, FL 32811-1507
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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