NPIMap

Organization Active NPI

Lice Away LLC

  • Other Technician
  • Lafayette, LA
National Provider Identifier
1174028344
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
LICE AWAY LLC
Practice address
100 Beauvais Ave
Lafayette, LA 70507-2468
Phone
(337) 466-8998
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Shanna Montgomery
Title
Owner
Phone
(337) 580-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X LA Primary

Addresses

Primary practice location

100 Beauvais Ave
Lafayette, LA 70507-2468

Mailing address

164 Savoie Dr
Eunice, LA 70535-6705

National Provider Directory

National Provider Directory

Locations

100 Beauvais Ave
Lafayette, LA 70507
Phone (337) 466-8998

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1174028344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SAVOIE DR",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705356705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BEAUVAIS AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072468",
            "telephone_number": "337-466-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE AWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-580-4027"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.