Provider Demographics
NPI:1568900470
Name:L & W HEALTHCARE LLC
Entity Type:Organization
Organization Name:L & W HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSMICKI
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:414-940-9106
Mailing Address - Street 1:12121 STILL MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6693
Mailing Address - Country:US
Mailing Address - Phone:414-940-9106
Mailing Address - Fax:
Practice Address - Street 1:12121 STILL MEADOW DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6693
Practice Address - Country:US
Practice Address - Phone:414-940-9106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty