Provider Demographics
NPI:1710640552
Name:LSR CORPORATION
Entity Type:Organization
Organization Name:LSR CORPORATION
Other - Org Name:LSR CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LSR
Authorized Official - Middle Name:
Authorized Official - Last Name:CORPORATION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-586-7335
Mailing Address - Street 1:104 WALTERS AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2602
Mailing Address - Country:US
Mailing Address - Phone:615-586-7535
Mailing Address - Fax:
Practice Address - Street 1:2201 MURFREESBORO PIKE STE C205
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3438
Practice Address - Country:US
Practice Address - Phone:615-586-7535
Practice Address - Fax:615-692-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care