Provider Demographics
NPI:1558739268
Name:L&M TRANSPORTATION
Entity Type:Organization
Organization Name:L&M TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWTHORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-289-5103
Mailing Address - Street 1:2063 ATTALA ROAD 5022
Mailing Address - Street 2:
Mailing Address - City:KOSCIUSKO
Mailing Address - State:MS
Mailing Address - Zip Code:39090-8602
Mailing Address - Country:US
Mailing Address - Phone:662-289-5103
Mailing Address - Fax:662-289-2603
Practice Address - Street 1:2063 ATTALA ROAD 5022
Practice Address - Street 2:
Practice Address - City:KOSCIUSKO
Practice Address - State:MS
Practice Address - Zip Code:39090-8602
Practice Address - Country:US
Practice Address - Phone:662-289-5103
Practice Address - Fax:662-289-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)