NPI 1477822336

Dickson Orthotics & Prosthetics

Organisation Customized Equipment (DME) Dickson, TN

Practice location

Address: 127 Crestview Park Dr Suite 104, Dickson, TN 37055-2855
Phone: (615) 740-0177
Fax: (615) 740-1154

Authorised official

Name: Fernando Lara
Title: Owner/Cpo
Phone: (615) 740-0177

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence CPO02324 (DE)

Other Durable Medical Equipment & Medical Supplies providers in Tennessee →

Registry record

NPI: 1477822336
Entity type: Organization
NPI issued: 22 Dec 2011
Record last updated: 7 May 2012

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.