Provider Demographics
NPI:1942874490
Name:LFBS AND COMPANY LLC
Entity Type:Organization
Organization Name:LFBS AND COMPANY LLC
Other - Org Name:LAKEWOOD RANCH HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ SOLE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:KAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-877-6002
Mailing Address - Street 1:8374 MARKET ST # 194
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5137
Mailing Address - Country:US
Mailing Address - Phone:929-928-0754
Mailing Address - Fax:
Practice Address - Street 1:9015 TOWN CENTER PKWY UNIT 112
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5012
Practice Address - Country:US
Practice Address - Phone:941-877-6002
Practice Address - Fax:833-914-2734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care