Livirae Lingerie, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LIVIRAE LINGERIE, LLC

Practice address

2975 Ring Rd NW
Kennesaw, GA 30144-4912

Phone

(770) 429-7004

Fax

(770) 429-7069

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Amanda D Davis

Title

Mastectomy Fit Organizer

Phone

(770) 429-7004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952507378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 RING RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444912",
            "telephone_number": "770-429-7004",
            "fax_number": "770-429-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 RING RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444912",
            "telephone_number": "770-429-7004",
            "fax_number": "770-429-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVIRAE LINGERIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MASTECTOMY FIT ORGANIZER",
        "authorized_official_telephone_number": "770-429-7004"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.