NPI 1386049021

Vanity Lyfe Hairtique

Organisation Prosthetic/Orthotic Supplier Lake Charles, LA

Practice location

Address: 3309 Ryan St, Lake Charles, LA 70601-8518
Phone: (337) 263-8828

Authorised official

Name: Jamika Moore
Title: Owner
Phone: (337) 263-5769

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Louisiana →

Registry record

NPI: 1386049021
Entity type: Organization
NPI issued: 23 Oct 2014
Record last updated: 23 Oct 2014

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.