Lady in Lace
NPI #1417091042 in Tuscaloosa, Alabama
Provider Information
- NPI Number
- 1417091042
- Entity Type
- Organization
- Organization Name
- Lady in Lace
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 410 QUEEN CITY AVE
- City
- Tuscaloosa
- State
- Alabama
- ZIP Code
- 35401-1552
- Phone
- (205) 349-5223
Authorized Official
- Name
- FAYE GROW
- Title
- PARTNER
- Phone
- (205) 349-5223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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