Provider Demographics
NPI:1689358947
Name:LUCV MEDICAL TRANSPORTATION CORP
Entity Type:Organization
Organization Name:LUCV MEDICAL TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NORIA ARMENTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-408-0685
Mailing Address - Street 1:416 E 2ND ST STE 105
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-2843
Mailing Address - Country:US
Mailing Address - Phone:760-408-0685
Mailing Address - Fax:
Practice Address - Street 1:416 E 2ND ST STE 105
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-2843
Practice Address - Country:US
Practice Address - Phone:760-408-0685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)