The Bra Lady Boutique, INC

NPI #1447431879 in Danville, Virginia

Provider Information

NPI Number
1447431879
Entity Type
Organization
Organization Name
The Bra Lady Boutique, INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 14, 2007
Last Updated
Oct 29, 2015

Practice Location

Address
1085 PINEY FOREST ROAD
ZIP Code
24540-1507
Phone
(434) 793-5239

Authorized Official

Name
CAROLYN H LUMPKIN, CERTIFIED MASTECTOMY
Title
OWNER
Phone
(434) 793-5239

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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