Provider Demographics
NPI:1104126853
Name:LFW INC
Entity type:Organization
Organization Name:LFW INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PETROSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-738-3302
Mailing Address - Street 1:4108 S US HIGHWAY 31
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-8177
Mailing Address - Country:US
Mailing Address - Phone:317-738-3302
Mailing Address - Fax:317-738-3347
Practice Address - Street 1:4108 S US HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-8177
Practice Address - Country:US
Practice Address - Phone:317-738-3302
Practice Address - Fax:317-738-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies