Provider Demographics
NPI:1326196049
Name:L & P CORP.
Entity Type:Organization
Organization Name:L & P CORP.
Other - Org Name:MIDWEST HOME MEDICAL EQUIPMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:PALANS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:636-887-3705
Mailing Address - Street 1:2173 W TERRA LN
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-2366
Mailing Address - Country:US
Mailing Address - Phone:636-887-3705
Mailing Address - Fax:636-887-3706
Practice Address - Street 1:2173 WEST TERRA LANE
Practice Address - Street 2:
Practice Address - City:O'FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-2366
Practice Address - Country:US
Practice Address - Phone:636-887-3705
Practice Address - Fax:636-887-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO10756523332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO620243006Medicaid
MO754695OtherHEALTHLINK
MO206202OtherBLUE CROSS BLUE SHIELD OF
MOV22837OtherVGM HOMELINK
MOV22837OtherVGM HOMELINK