Provider Demographics
NPI:1699300129
Name:L & M TRANSPORT LLC
Entity type:Organization
Organization Name:L & M TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:SCHOELL
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT PROVIDER
Authorized Official - Phone:262-764-4252
Mailing Address - Street 1:7519 60TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-4016
Mailing Address - Country:US
Mailing Address - Phone:262-764-4252
Mailing Address - Fax:
Practice Address - Street 1:7519 60TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-4016
Practice Address - Country:US
Practice Address - Phone:262-764-4252
Practice Address - Fax:262-264-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker