Provider Demographics
NPI:1598637514
Name:LTK LLC
Entity type:Organization
Organization Name:LTK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-845-2846
Mailing Address - Street 1:3846 GEORGE II HWY UNIT A
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-8214
Mailing Address - Country:US
Mailing Address - Phone:910-845-2846
Mailing Address - Fax:910-636-1058
Practice Address - Street 1:3846 GEORGE II HWY UNIT A
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-8214
Practice Address - Country:US
Practice Address - Phone:910-845-2846
Practice Address - Fax:910-636-1058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies