Provider Demographics
NPI:1851097109
Name:LMTD EXPRESS
Entity Type:Organization
Organization Name:LMTD EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENNIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-568-6878
Mailing Address - Street 1:1316 RIVERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3569
Mailing Address - Country:US
Mailing Address - Phone:615-568-6878
Mailing Address - Fax:
Practice Address - Street 1:1316 RIVERBROOK DR
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3569
Practice Address - Country:US
Practice Address - Phone:615-568-6878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)