Lavendar N Lace

NPI #1023275419 in Freeport, Illinois

Provider Information

NPI Number
1023275419
Entity Type
Organization
Organization Name
Lavendar N Lace
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 22, 2008
Last Updated
May 22, 2008

Practice Location

Address
755 W GALENA AVE
ZIP Code
61032-3975
Phone
(815) 235-1551

Authorized Official

Name
MRS. MARY ANN OSTENDORF
Title
OWNER
Phone
(815) 235-1551

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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