LS Creative Agency LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LS CREATIVE AGENCY LLC

Practice address

1153 Route 3 North, Suite 10
Gambrills, MD 21054

Phone

(202) 227-6264

NPI assigned

Oct 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Bullock

Title

Owner

Phone

(202) 227-6264

Specialties & licenses 3

Addresses

Other names 1

• Love & Serenity Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1013515154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 SMOOTH ALDER ST N APT 362",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541372",
            "telephone_number": "202-227-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 ROUTE 3 NORTH, SUITE 10",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "202-227-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS CREATIVE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-227-6264"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love & Serenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chimene Linette Liburd, MD
• Lighttrack Health Systems, LLC
• James William Lindauer, D.C.
• Kiersten Lipinski
• Barbara Lowndes
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC
• Julia Renee Lyons, MS
• Magnolia Health Care LLC

• Prosthetic/Orthotic Supplier in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.