MEDICARE: LANEYS TOUCH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1447949755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANEYS TOUCH LLC

Provider Business Mailing Address
First Line	:	211 DONELSON PIKE STE 112
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2929
Country	:	US
Telephone Number	:	615-873-0858
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 DONELSON PIKE STE 112
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2929
Country	:	US
Telephone Number	:	615-879-3910
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TALANDRA GIBONEY
Credential	:
Telephone Number	:	615-810-1234

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	05/03/2023

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