LEGALLY LACED


Address: 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440
Phone: 4782171105

LEGALLY LACED (NPI# 1619594389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619594389
Entity Type Organization
Organization Name LEGALLY LACED
Practice Address 1000 Corporate Pointe Ste 214
Warner Robins
GA 31088-3440
Practice Telephone 4782171105
Mailing Telephone 4782171105
Enumeration Date 2020-06-29
Last Update Date 2020-06-29
Authorized Official Name SAVANNAH BOHLER (OWNER)
Authorized Official Telephone 4782171105
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 1000 CORPORATE POINTE STE 214
City WARNER ROBINS
State GA
Zip Code 31088-3440

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218921 Sarah Newman Pharmacist 1081 Ga-96, Warner Robins, GA 31088 2020-09-08
1619599115 Alana Jane Sibley Registered Nurse 940 Ga - 96, Warner Robins, GA 31088 2020-05-07
1033779657 Jodi Lynne Pettygrove Nurse Practitioner 115 Havelock Cir, Warner Robins, GA 31088 2019-06-17
1164994901 Gwendolyn Jordan Taylor Registered Nurse 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 2018-12-18
1447721543 Amy Tanner Behavioral Analyst 200 Cresview Church Rd #1806, Warner Robins, GA 31088 2018-12-16
1518435676 Phoenix Health Center Case Management 940 Ga-96, Warner Robins, GA 31088 2018-11-07
1427534320 Jared Dean Johnson Social Worker 146 Lakepointe Drive, Warner Robins, GA 31088 2018-07-13
1285124180 Cmp Academy & Billing Service Contractor 105 S Commercial Circle, Warner Robins, GA 31088 2018-05-16
1730692377 Benzer Pharmacy Pharmacy 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 2017-11-06
1821507476 Timothy Doyle Thomas Registered Nurse 940-c Hwy 96, Warner Robins, GA 31088 2017-09-27
Find all providers in zip 31088

Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790974384 Simply Irresistible Woman, LLC Prosthetic/Orthotic Supplier 115 Margie Dr Ste D, Warner Robins, GA 31093-7582 2007-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548860810 Crowns of Love Inc Prosthetic/Orthotic Supplier 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 2020-10-27
1447860150 Shadae Renee Medical Wigs Prosthetic/Orthotic Supplier 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 2020-08-06
1114535432 Beauty Zone2 Medical Wigs Prosthetic/Orthotic Supplier 252 Keys Ferry St, Mcdonough, GA 30253-3342 2020-07-22
1093332009 Jazzy Wigs, Rx Prosthetic/Orthotic Supplier 59 Urey Emerson Dr, Richland, GA 31825-6636 2020-06-25
1174147938 Salon Asya Mignon LLC Prosthetic/Orthotic Supplier 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 2020-06-07
1023630928 Michelles Beauty Bar Prosthetic/Orthotic Supplier 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 2020-05-13
1366063596 Stylish Styles By Tee Prosthetic/Orthotic Supplier 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 2020-04-28
1518503432 Regina Murff-love Prosthetic/Orthotic Supplier 341 Indus Ln, Lawrenceville, GA 30044-3835 2019-11-26
1417508995 Priscilla Denise Brown Prosthetic/Orthotic Supplier 38200 3rd Ave, Fort Gordon, GA 30905 2019-09-25
1811545650 Salon Bar LLC Prosthetic/Orthotic Supplier 4705 Ashford Dunwoody Rd # 4, Dunwoody, GA 30338-5566 2019-08-26
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Competitor

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City WARNER ROBINS
Zip Code 31088

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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