NPI 1417358557
Port Tack, LLC.
Practice location
- Address
- 1195 Route 70 Unit 1007, Lakewood, NJ 08701-5946
- Phone
- (732) 994-7550
- Mailing address
- PO Box 1156, Kemah, TX 77565-1156
Authorised official
- Name
- Jay Lutz
- Title
- Owner
- Phone
- (281) 787-6367
Registered specialties
Hearing Aid Equipment
Primary
Registry record
- NPI
- 1417358557
- Entity type
- Organization
- NPI issued
- 9 Sep 2014
- Record last updated
- 9 Sep 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.