Provider Demographics
NPI:1356849301
Name:LOECO LLC
Entity Type:Organization
Organization Name:LOECO LLC
Other - Org Name:LYMPHACARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-229-5858
Mailing Address - Street 1:PO BOX 892
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9623
Mailing Address - Country:US
Mailing Address - Phone:615-229-5858
Mailing Address - Fax:615-470-8204
Practice Address - Street 1:1123 NORTH CASTLE HEIGHTS AVE
Practice Address - Street 2:SUITE L
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-5725
Practice Address - Country:US
Practice Address - Phone:615-229-5858
Practice Address - Fax:615-470-8204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies