Provider Demographics
NPI:1033534839
Name:LC HEALTHCARE INC
Entity Type:Organization
Organization Name:LC HEALTHCARE INC
Other - Org Name:TLC HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:863-533-0732
Mailing Address - Street 1:692 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-3816
Mailing Address - Country:US
Mailing Address - Phone:863-533-0732
Mailing Address - Fax:
Practice Address - Street 1:692 E NORTH ST
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-3816
Practice Address - Country:US
Practice Address - Phone:863-533-0732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health