Provider Demographics
NPI:1316020134
Name:LINGERIE LINGERIE, INC.
Entity Type:Organization
Organization Name:LINGERIE LINGERIE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:410-296-8808
Mailing Address - Street 1:820 KENILWORTH DR
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2201
Mailing Address - Country:US
Mailing Address - Phone:410-296-8808
Mailing Address - Fax:410-296-8805
Practice Address - Street 1:820 KENILWORTH DR
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2201
Practice Address - Country:US
Practice Address - Phone:410-296-8808
Practice Address - Fax:410-296-8805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0352210001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0352210001Medicare ID - Type Unspecified