Legacy Lace Wigs LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LEGACY LACE WIGS LLC.

Practice address

2605 Sagebrush Dr
Suite 105
Flower Mound, TX 75028-2761

Phone

(972) 914-9447

NPI assigned

Jul 10, 2014

Last updated

Jul 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan SanfordNPI 1720494669

Title

Coo

Phone

(972) 914-9447

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Sanford

  • Specialist
  • Flower Mound, TX
  • NPI 1720494669
  NPD (past) Authorized official

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1902212855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LONG PRAIRIE RD",
            "address_2": "107-824",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224832",
            "telephone_number": "972-914-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SAGEBRUSH DR",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282761",
            "telephone_number": "972-914-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LACE WIGS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "972-914-9447"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakyeong Lee
• Dorothea Dian Lee, RPH
• Miranda Lee, DDS
• Sung Hyun Lee
• Thanh Lee, PHARMD
• Allison Legare, PA-C
• Sydney Lehnertz, RBT
• Kaitlinh Kiernan Leon
• Leonard Chiropractic, PLLC (Leonard Family Chiropractic)
• Benny Leonard

• Durable Medical Equipment & Medical Supplies in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.