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 may be a DME supplier for Medicare equipment and products.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.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 9914 | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| L937 | Other | Georgia | Kaiser 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.