Healthcare Provider Details

I. General information

NPI: 1841364270
Provider Name (Legal Business Name): LEPAPILLON BOUTIQUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 KENNETT PIKE STE 132 GREENVILLE CROSSISNG II
GREENVILLE DE
19807-2315
US

IV. Provider business mailing address

4001 KENNETT PIKE STE 132 GREENVILLE CROSSISNG II
GREENVILLE DE
19807-2315
US

V. Phone/Fax

Practice location:
  • Phone: 302-656-3348
  • Fax: 302-576-1303
Mailing address:
  • Phone: 302-656-3348
  • Fax: 302-576-1303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateDE

VIII. Authorized Official

Name: MRS. JUDITH SULLIVAN
Title or Position: PRESIDENT
Credential:
Phone: 302-656-1348