Organization
LAVENDER & LACE LINGERIE LLC
Active
Other names
Pink Ribbon Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
BARB VAN TOLINGEN (MANAGER)
(804) 282-4679
Entity
Organization
Contact information
Practice address
8801 THREE CHOPT RD STE M, HENRICO, VA 23229-4755
(804) 282-4679
(804) 288-4020
Mailing address
8801 THREE CHOPT RD STE M, HENRICO, VA 23229-4755
(804) 282-4679
(804) 288-4020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
VA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/27/2011
Last updated
09/26/2019
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