Provider Demographics
NPI:1285365775
Name:LP MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:LP MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-299-3945
Mailing Address - Street 1:740 GREENVILLE BLVD SE STE 400-350
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5135
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1817 LEE AVE,
Practice Address - Street 2:HALL C OFFICE 18
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5758
Practice Address - Country:US
Practice Address - Phone:252-299-3945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)