Legacy Lace Wigs Llc.
NPI #1902212855 in Flower Mound, Texas
Provider Information
- NPI Number
- 1902212855
- Entity Type
- Organization
- Organization Name
- Legacy Lace Wigs Llc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 10, 2014
- Last Updated
- Jul 31, 2015
Practice Location
- Address
- 2605 SAGEBRUSH DR
- Address 2
- SUITE 105
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028-2761
- Phone
- (972) 914-9447
Authorized Official
- Name
- RYAN SANFORD
- Title
- COO
- Phone
- (972) 914-9447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Durable Medical Equipment & Medical Supplies |
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