Provider Demographics
NPI:1417496373
Name:LALITA'S AMBULANCE CARE LLC
Entity Type:Organization
Organization Name:LALITA'S AMBULANCE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-516-4499
Mailing Address - Street 1:1217 N SEYMOUR AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5325
Mailing Address - Country:US
Mailing Address - Phone:956-516-4499
Mailing Address - Fax:956-516-7796
Practice Address - Street 1:4205 JAIME ZAPATA MEMORIAL HWY STE 8
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-4791
Practice Address - Country:US
Practice Address - Phone:956-516-4499
Practice Address - Fax:956-516-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10009653416L0300X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)