# LAVANT GARDE HAIR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225580087
- **Authorized official:** MRS. KAI PERRY (OPERATIONS MANAGER)
- **Authorized official phone:** (203) 257-9279

## Contact information

- **Practice address:** 580 NEWFIELD AVE, BRIDGEPORT, CT 06607-1718
- **Practice address phone:** (203) 257-9279
- **Mailing address:** 580 NEWFIELD AVE, BRIDGEPORT, CT 06607-1718
- **Mailing address phone:** (203) 257-9279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016