Lavish Wellness And Aesthetics | |
5309 Limestone Rd Ste B Wilmington DE 19808-1222 | |
(302) 604-3448 | |
(302) 235-8151 |
Full Name | Lavish Wellness And Aesthetics |
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Speciality | Nurse Practitioner |
Location | 5309 Limestone Rd Ste B, Wilmington, Delaware |
Authorized Official Name and Position | Taylor Burge (CO CEO) |
Authorized Official Contact | 3026043448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lavish Wellness And Aesthetics 5309 Limestone Rd Ste B Wilmington DE 19808-1222 Ph: (302) 604-3448 | Lavish Wellness And Aesthetics 5309 Limestone Rd Ste B Wilmington DE 19808-1222 Ph: (302) 604-3448 |
NPI Number | 1912625351 |
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Provider Enumeration Date | 08/22/2022 |
Last Update Date | 11/15/2022 |
Medicare PECOS PAC ID | 1951770338 |
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Medicare Enrollment ID | O20221206002975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912625351 | NPI | - | NPPES |
Provider Name | Taylor A Burge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174951081 PECOS PAC ID: 4486882180 Enrollment ID: I20131231001416 |
Provider Name | Rebecca L Hammond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861896532 PECOS PAC ID: 8729300702 Enrollment ID: I20141202000560 |
Provider Name | Mbwidiffu Achilles Dibal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629473483 PECOS PAC ID: 6002124005 Enrollment ID: I20150924001142 |
Provider Name | Jackie Joe Lindo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477920296 PECOS PAC ID: 2365750403 Enrollment ID: I20151009000054 |
Provider Name | Nadisha Derona Roberta Levy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457961989 PECOS PAC ID: 0648681452 Enrollment ID: I20201201000237 |
Provider Name | Amarjit Kumari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578282042 PECOS PAC ID: 0446622146 Enrollment ID: I20230206002468 |
Provider Name | Jennifer Okagbare |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972373850 PECOS PAC ID: 3971946641 Enrollment ID: I20240209000810 |
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