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Organization

ROYAL EXTENSIONZ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEISHA MARIE ROBERTSON (OWNER/PROVIDER)
(662) 524-5428
Entity
Organization

Contact information

Practice address
3659 LORNA RD STE 139, HOOVER, AL 35216-5959
(662) 524-5428
Mailing address
325 CHAPEL HILL TRL, FULTONDALE, AL 35068-6078
(662) 524-5428

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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