Organization
CREATIVE IMAGES
Active
Other names
Creative Images, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHONDA DENENE RAMSEY CFM (OWNER)
(757) 398-9101
Entity
Organization
Contact information
Practice address
4016 RAINTREE RD, SUITE 120A, CHESAPEAKE, VA 23321
(757) 398-9101
(757) 398-9102
Mailing address
4016 RAINTREE RD, SUITE 120A, CHESAPEAKE, VA 23321-3700
(757) 398-9101
(757) 398-9102
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
225700000X
Massage Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010335795
—
VA
05
—
010342686
—
VA
01
—
10013697
OPTIMA HEALTHCARE
VA
01
—
2179207
UNITED HEALTHCARE
VA
01
—
239412
BLUE CROSS BLUE SHIELD
VA
01
—
348464
BLUE CROSS BLUE SHIELD
VA
Enumeration date
09/14/2006
Last updated
07/31/2018
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