Provider Demographics
NPI:1942527841
Name:L&O,LLC
Entity Type:Organization
Organization Name:L&O,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIENNE
Authorized Official - Middle Name:LANANGA
Authorized Official - Last Name:NEVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-593-1377
Mailing Address - Street 1:4701 SOMERSET RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1131
Mailing Address - Country:US
Mailing Address - Phone:301-850-2981
Mailing Address - Fax:240-455-0195
Practice Address - Street 1:4701 SOMERSET RD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1131
Practice Address - Country:US
Practice Address - Phone:301-850-2981
Practice Address - Fax:240-455-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies