Lilburn Shoe Repair & Pedorthics Inc

Durable Medical Equipment & Medical Supplies



  
  4760 Lawrenceville Hwy Nw, Suite C-1, Lilburn
Georgia, 30047-3858

 770-931-0823   
Lilburn Shoe Repair & Pedorthics Inc is a Durable Medical Equipment & Medical Supplies in Lilburn, Georgia. It is located at 4760 Lawrenceville Hwy Nw, Suite C-1, Lilburn and it's customer support contact number is 770-931-0823. The authorized person of Lilburn Shoe Repair & Pedorthics Inc is Jackie Yvonne Leandro who is Owner of this DME and his contact number is 770-931-0823. Active license number of Lilburn Shoe Repair & Pedorthics Inc is 9914 for Durable Medical Equipment & Medical Supplies in Georgia.
Lilburn Shoe Repair & Pedorthics Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.


DME Supplier Details:
Lilburn Shoe Repair & Pedorthics Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Lilburn Shoe Repair & Pedorthics Inc
Type: Durable Medical Equipment & Medical Supplies
Location:4760 Lawrenceville Hwy Nw, Suite C-1, Lilburn,
Georgia, 30047-3858
Phone:770-931-0823
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Jackie Yvonne Leandro
Position: Owner
Contact Number: 770-931-0823
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1063564367
NPI Enumeration Date: 17 Jan, 2007
NPI Last Update On: 17 Feb, 2021

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lilburn Shoe Repair & Pedorthics Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Durable Medical Equipment & Medical Supplies 9914GeorgiaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
L937OtherGeorgiaKaiser Permanente Id
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 2605 Sims Crest Ct,
Snellville, Georgia
Zip: 30078-4161
Phone Number: 770-891-3418
Patients can reach Lilburn Shoe Repair & Pedorthics Inc at 4760 Lawrenceville Hwy Nw, Suite C-1, Lilburn, Georgia or can call on customer care at 770-931-0823.
Comments/ Reviews:
Read all the reviews posted for Lilburn Shoe Repair & Pedorthics Inc below. You may also share your own experience with Lilburn Shoe Repair & Pedorthics Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.