Provider Demographics
NPI:1417408790
Name:LMS SERVICES, LLC
Entity Type:Organization
Organization Name:LMS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:MING
Authorized Official - Last Name:SHUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-449-6954
Mailing Address - Street 1:PO BOX 1904
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-1904
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:404 AVE DE LA CONSTITUCION
Practice Address - Street 2:COND. ATLANTIS APT. 1503
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-2236
Practice Address - Country:US
Practice Address - Phone:787-449-6954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19336261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty