Lavender & Lace Lingerie LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAVENDER & LACE LINGERIE LLC

Doing business as

Pink Ribbon Boutique

Practice address

8801 Three Chopt Rd Ste M
Henrico, VA 23229-4755

Phone

(804) 282-4679

Fax

(804) 288-4020

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Barb Van Tolingen

Title

Manager

Phone

(804) 282-4679

Specialties & licenses 3

Addresses

Other names 1

• Pink Ribbon Boutique Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1629354279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 THREE CHOPT RD STE M",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294755",
            "telephone_number": "804-282-4679",
            "fax_number": "804-288-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 THREE CHOPT RD STE M",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294755",
            "telephone_number": "804-282-4679",
            "fax_number": "804-288-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER & LACE LINGERIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "VAN TOLINGEN",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-282-4679"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thepinkribbonboutique.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8801 Three Chopt Rd Ste M",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232294755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pink Ribbon Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pink Ribbon Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Lyn Lattimer, FNP-C
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• Hayley Laurent
• Kathleen Lautzenheiser, DPT
• Eric Lavalle, MSED, LPC, NCC
• Latonya Lawson
• Emily Layman, LPC, CSAC
• Daniel Rene Layon, MD
• Andrea Marie Lazzari, SLP
• Leading Home Care Inc.

• Durable Medical Equipment & Medical Supplies in Henrico, VA
• Providers in Henrico, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.