Experience Lemieux

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EXPERIENCE LEMIEUX

Practice address

900 N 19TH St Unit 3247
Philadelphia, PA 19130-1561

Phone

(267) 997-1096

Fax

(855) 375-7029

NPI assigned

Apr 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ashley Edwards

Title

Owner

Phone

(267) 997-1096

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1750900114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 19TH ST UNIT 3247",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301561",
            "telephone_number": "267-997-1096",
            "fax_number": "855-375-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 19TH ST UNIT 3247",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301561",
            "telephone_number": "267-997-1096",
            "fax_number": "855-375-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE LEMIEUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-997-1096",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC",
            "identifier": "839670",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8553757029",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "900 N 19th St Unit 3247",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191301561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.