Provider Demographics
NPI:1417243452
Name:LCSE SERVICES LLC
Entity Type:Organization
Organization Name:LCSE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SELLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-573-6888
Mailing Address - Street 1:241 ASYLUM ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-1515
Mailing Address - Country:US
Mailing Address - Phone:860-573-6888
Mailing Address - Fax:
Practice Address - Street 1:241 ASYLUM ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-1515
Practice Address - Country:US
Practice Address - Phone:860-573-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies