Provider Demographics
NPI:1063744415
Name:L&L TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:L&L TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-751-2085
Mailing Address - Street 1:107 TRENT TRL
Mailing Address - Street 2:107 TRENT TRL
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-1843
Mailing Address - Country:US
Mailing Address - Phone:318-751-2085
Mailing Address - Fax:
Practice Address - Street 1:107 TRENT TRL
Practice Address - Street 2:107 TRENT TRL
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-1843
Practice Address - Country:US
Practice Address - Phone:318-751-2085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA006594297347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle