NPI | 1912625351 |
---|---|
Doing Business As | LAVISH WELLNESS AND AESTHETICS |
Doing Business As | LAVISH WELLNESS & AESTHETICS |
Entity Type | Organization |
Authorized Contact | TAYLOR BURGE Co 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 | 2022-11-15 |