Organization
LADY K LINGERIE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHLEEN T. WALRAVEN CFM (PRESIDENT)
(973) 627-1836
Entity
Organization
Contact information
Practice address
33 BROADWAY, DENVILLE, NJ 07834-2705
(973) 627-1836
(973) 627-7105
Mailing address
33 BROADWAY, DENVILLE, NJ 07834-2705
(973) 627-1836
(973) 627-7105
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/16/2007
Last updated
09/11/2012
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