# JACQUELINE CULVER LANIGAN LLC

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

## Provider details

- **NPI number:** 1538860804
- **Authorized official:** JACQUELINE LANIGAIN DMD (DENTIST)
- **Authorized official phone:** (703) 593-5422

## Contact information

- **Practice address:** 61 IRVINGTON RD, KILMARNOCK, VA 22482-3826
- **Practice address phone:** (804) 435-1220
- **Mailing address:** PO BOX 129, KILMARNOCK, VA 22482-0129
- **Mailing address phone:** (804) 435-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/14/2023
- **Last updated:** 03/14/2023