Provider Demographics
NPI:1992007157
Name:LL CUSTOM CONTRACTING
Entity Type:Organization
Organization Name:LL CUSTOM CONTRACTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LAMPHEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-214-3345
Mailing Address - Street 1:45136 CASS AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317-5507
Mailing Address - Country:US
Mailing Address - Phone:877-688-1313
Mailing Address - Fax:
Practice Address - Street 1:45136 CASS AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5507
Practice Address - Country:US
Practice Address - Phone:877-688-1313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty