Provider Demographics
NPI:1194122432
Name:LET'S GET LACED INC.
Entity type:Organization
Organization Name:LET'S GET LACED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AESHA
Authorized Official - Middle Name:SUMAYYA
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-416-4307
Mailing Address - Street 1:5418 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5209
Mailing Address - Country:US
Mailing Address - Phone:954-960-5950
Mailing Address - Fax:855-695-1453
Practice Address - Street 1:12743 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2003
Practice Address - Country:US
Practice Address - Phone:240-442-2261
Practice Address - Fax:855-695-1453
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LET'S GET LACED BEAUTY CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-02
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier