NPI 1013515154

Ls Creative Agency LLC

Organisation Prosthetic/Orthotic Supplier Gambrills, MD

Practice location

Address: 1153 Route 3 North, Suite 10, Gambrills, MD 21054
Phone: (202) 227-6264
Mailing address: 2610 Smooth Alder St N APT 362, Gambrills, MD 21054-1372

Authorised official

Name: Tiffany Bullock
Title: Owner
Phone: (202) 227-6264

Registered specialties (3)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Registry record

NPI: 1013515154
Entity type: Organization
NPI issued: 12 Oct 2020
Record last updated: 12 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.