NPI 1053506121

Mercer Beauty Supply

Organisation Prosthetic/Orthotic Supplier Lawton, OK

Practice location

Address: 1016 SW D Ave, Lawton, OK 73501
Phone: (580) 353-0690

Authorised official

Name: Iva L Black
Title: Owner
Phone: (580) 353-0690

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 22498 001 (OK)

Other Prosthetic/Orthotic Supplier providers in Oklahoma →

Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence 22498 001 (OK)

Other Orthotic Fitter providers in Oklahoma →

Registry record

NPI: 1053506121
Entity type: Organization
NPI issued: 11 Sep 2007
Record last updated: 16 Jul 2008

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.