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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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