| NPI | 1912625351 |
|---|---|
| Doing Business As | LAVISH WELLNESS & AESTHETICS |
| Doing Business As | LAVISH WELLNESS AND AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | TAYLOR BURGE CEO 302-604-3448 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-10-07 |