NPI Code Detail JSON Logo

1912625351 NPI number — PRECISION CARE AND WELLNESS LLC DBA LAVISH WELLNESS AND AESTHETICS

NPI Number: 1912625351
Health Care Provider/Practitioner: PRECISION CARE AND WELLNESS LLC DBA LAVISH WELLNESS AND AESTHETICS

Information about “1912625351” NPI (PRECISION CARE AND WELLNESS LLC DBA LAVISH WELLNESS AND AESTHETICS) exists in 1912625351 in HTML format HTML  |  1912625351 in plain Text format TXT  |  1912625351 in PDF (Portable Document Format) PDF  |  1912625351 in an XML format XML  formats.

NPI Number : 1912625351 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912625351",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "LAVISH WELLNESS AND AESTHETICS",
    "ParentOrgTIN": null,
    "OrgName": "PRECISION CARE AND WELLNESS LLC DBA LAVISH WELLNESS AND AESTHETICS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2060 LIMESTONE RD STE 205",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILMINGTON",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19808-5530",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-604-3448",
    "MailingAddressFaxNumber": "302-235-8151",
    "FirstLinePracticeLocationAddress": "2060 LIMESTONE RD STE 205",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19808-5530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-604-3448",
    "PracticeLocationAddressFaxNumber": "302-235-8151",
    "EnumerationDate": "08/22/2022",
    "LastUpdateDate": "10/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BURGE",
    "AuthorizedOfficialFirstName": "TAYLOR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP",
    "AuthorizedOfficialTelephoneNumber": "302-604-3448",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QU0200X",
          "TaxonomyName": "Urgent Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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