Provider Demographics
NPI:1376251504
Name:LAL VENTURES GROUP
Entity Type:Organization
Organization Name:LAL VENTURES GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANNMARIE
Authorized Official - Last Name:LASLEY-SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-439-3521
Mailing Address - Street 1:2329 STREET RD # 1048
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2806
Mailing Address - Country:US
Mailing Address - Phone:267-234-7021
Mailing Address - Fax:
Practice Address - Street 1:67 BUCK RD STE 105
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1535
Practice Address - Country:US
Practice Address - Phone:267-234-7021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport