Lillys Fine Lingerie, Inc.

NPI #1083622740 in Glen Head, New York

Provider Information

NPI Number
1083622740
Entity Type
Organization
Organization Name
Lillys Fine Lingerie, Inc.
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 4, 2006
Last Updated
Mar 19, 2012

Practice Location

Address
5 STATION PLAZA
ZIP Code
11545
Phone
(516) 674-8109

Authorized Official

Name
MRS. DIANE M BRUSCELLA, CMF
Title
OWNER
Phone
(516) 674-8109

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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