Provider Demographics
NPI:1962438952
Name:L. CREAGH CORP.
Entity type:Organization
Organization Name:L. CREAGH CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CREAGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-987-5758
Mailing Address - Street 1:3600 S. STATE RD.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MIRAMAR
Mailing Address - State:FM
Mailing Address - Zip Code:33023
Mailing Address - Country:US
Mailing Address - Phone:954-987-5758
Mailing Address - Fax:954-987-5752
Practice Address - Street 1:3600 S. STATE RD.
Practice Address - Street 2:SUITE 230
Practice Address - City:MIRAMAR
Practice Address - State:FM
Practice Address - Zip Code:33023
Practice Address - Country:US
Practice Address - Phone:954-987-5758
Practice Address - Fax:954-987-5752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies