LL Virtual Services

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Legal business name

LL VIRTUAL SERVICES

Practice address

4630 High Gate LN
Lithonia, GA 30038-3621

Phone

(404) 590-1074

Fax

(833) 216-6562

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Latrice Littles

Title

Owner

Phone

(404) 838-1417

Specialties & licenses 1

Addresses

Other names 1

• Latra Laces Doing business as

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1891421368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 HIGH GATE LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383621",
            "telephone_number": "404-590-1074",
            "fax_number": "833-216-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 HIGH GATE LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383621",
            "telephone_number": "404-590-1074",
            "fax_number": "833-216-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LL VIRTUAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "LITTLES",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-838-1417",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latra Laces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lithonia Woundcare Center
• Lithonia-Rockdale Dialysis, LLC
• Little Love Healthcare Services LLC
• Eboni Little
• Pamela Yvonne Little, LPC
• Nyia Riche Lloyd
• Jacqueline D Lockett, R.D., L.D.
• Deidre London, LPC
• Daniel Candelario Lopez, M.D.
• Makeda Janell Lovelace, PHARMD

• Orthotic Fitter in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Orthotic Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.