Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aria London Boutique

Organization Prosthetic/Orthotic Supplier · NPI 1699356923

Aria London Boutique is a Prosthetic/Orthotic Supplier in Lizella, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2311 Gwendale Dr E
Lizella, GA 31052-3524
Phone: (478) 250-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1699356923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latrese Jackson — Owner · (478) 250-4601
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing address2311 Gwendale Dr E, Lizella, GA 31052-3524

Other providers in Lizella