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Contact Information

DIVINE LASH & BEAUTY BAR
10520 N BAEHR RD STE M
MEQUON, WI53092-6701
 Phone: 262-417-8385
 Fax: 414-202-6350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for DIVINE LASH & BEAUTY BAR

NPI # 1902546187
LBN Legal business name DIVINE LASH & BEAUTY BAR
Authorized official ASHLEY MOORE - (OWNER/AESTTHETICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2022
Last updated 08/09/2023 - About 3 years 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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