NPI 1023275419

Lavendar N Lace

Organisation Durable Medical Equipment & Medical Supplies Freeport, IL

Practice location

Address: 755 W Galena Ave, Freeport, IL 61032-3975
Phone: (815) 235-1551
Fax: (815) 235-1551
Mailing address: 755 W Galena Ave PO Box 655, Freeport, IN 61032-0655

Authorised official

Name: Mary Ann Ostendorf
Title: Owner
Phone: (815) 235-1551

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Illinois →

Registry record

NPI: 1023275419
Entity type: Organization
NPI issued: 22 May 2008
Record last updated: 22 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.