Provider Demographics
NPI:1992174585
Name:LCS HEALTHCARE GROUP LLC
Entity type:Organization
Organization Name:LCS HEALTHCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:COULSTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:520-266-3028
Mailing Address - Street 1:599 E WILCOX DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2531
Mailing Address - Country:US
Mailing Address - Phone:520-459-4600
Mailing Address - Fax:
Practice Address - Street 1:599 E WILCOX DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2531
Practice Address - Country:US
Practice Address - Phone:520-459-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty