Provider Demographics
NPI:1316096639
Name:DESIGNED BY NATURE, INC
Entity type:Organization
Organization Name:DESIGNED BY NATURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:AUDREY
Authorized Official - Last Name:LAZENBY
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:706-836-3397
Mailing Address - Street 1:111 MIRACLE DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-6351
Mailing Address - Country:US
Mailing Address - Phone:803-641-6044
Mailing Address - Fax:803-641-7858
Practice Address - Street 1:111 MIRACLE DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6351
Practice Address - Country:US
Practice Address - Phone:803-641-6044
Practice Address - Fax:803-641-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE2449Medicaid
SCDE2449Medicaid