Provider Demographics
NPI:1316343981
Name:LMG LLC
Entity type:Organization
Organization Name:LMG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-391-7670
Mailing Address - Street 1:2600 BELLE CHASSE HIGHWAY
Mailing Address - Street 2:SUITE I
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056
Mailing Address - Country:US
Mailing Address - Phone:504-391-7670
Mailing Address - Fax:504-378-9439
Practice Address - Street 1:2600 BELLE CHASSE HWY
Practice Address - Street 2:SUITE I
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-7156
Practice Address - Country:US
Practice Address - Phone:504-391-7670
Practice Address - Fax:504-378-9439
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LMG LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-10
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7352890001OtherMEDICARE DME PTAN