OrganizationActive
Stacey'S Bra and Lingerie Shop, Inc
NPI 1720159452 · Prosthetic/Orthotic Supplier · Urbandale, IA
Provider details
- NPI number
- 1720159452
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Authorized official
- Stacey Burns-Fox, President
Mailing address
10453 Hickman Road
Urbandale, IA 50322
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.