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Contact Information

WHITE LAVENDER
4122 SHELBYVILLE RD STE A
LOUISVILLE, KY40207-3212
 Phone: 502-805-3074
 Fax: 502-251-0922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for WHITE LAVENDER

NPI # 1285462663
LBN Legal business name WHITE LAVENDER
Authorized official MICAH DONLON - (FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2024
Last updated 09/25/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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