Provider Demographics
NPI:1003235680
Name:LAVENDER BABY NURSES
Entity Type:Organization
Organization Name:LAVENDER BABY NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCOE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-732-4114
Mailing Address - Street 1:3030 BRYAN ST STE 407
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6167
Mailing Address - Country:US
Mailing Address - Phone:414-732-4114
Mailing Address - Fax:
Practice Address - Street 1:3030 BRYAN ST STE 407
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6167
Practice Address - Country:US
Practice Address - Phone:414-732-4114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care