Provider Demographics
NPI:1235290354
Name:L&B SURGICAL INC
Entity Type:Organization
Organization Name:L&B SURGICAL INC
Other - Org Name:GREEN CROSS SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LINDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-477-3222
Mailing Address - Street 1:1889 ROUTE 88
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3560
Mailing Address - Country:US
Mailing Address - Phone:732-477-3222
Mailing Address - Fax:732-920-3740
Practice Address - Street 1:1889 ROUTE 88
Practice Address - Street 2:SUITE B
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3560
Practice Address - Country:US
Practice Address - Phone:732-477-3222
Practice Address - Fax:732-920-3740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1647008Medicaid
NJ1647008Medicaid