Provider Demographics
NPI:1841364270
Name:LEPAPILLON BOUTIQUE
Entity type:Organization
Organization Name:LEPAPILLON BOUTIQUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-656-1348
Mailing Address - Street 1:4001 KENNETT PIKE
Mailing Address - Street 2:STE 132 GREENVILLE CROSSISNG II
Mailing Address - City:GREENVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2315
Mailing Address - Country:US
Mailing Address - Phone:302-656-3348
Mailing Address - Fax:302-576-1303
Practice Address - Street 1:4001 KENNETT PIKE
Practice Address - Street 2:STE 132 GREENVILLE CROSSISNG II
Practice Address - City:GREENVILLE
Practice Address - State:DE
Practice Address - Zip Code:19807-2315
Practice Address - Country:US
Practice Address - Phone:302-656-3348
Practice Address - Fax:302-576-1303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies