Organization
LUXXE HAIR COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIA FOWLER (CEO)
(317) 721-7490
Entity
Organization
Contact information
Practice address
4850 PENDRAGON BLVD APT A, INDIANAPOLIS, IN 46268-2432
(317) 721-7490
Mailing address
1389 W. 86TH ST. PMB# 224, INDIANAPOLIS, IN 46260
(317) 721-7490
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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