Organization
LWENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEDELL WALTON (OWNER)
(414) 324-9688
Entity
Organization
Contact information
Practice address
2815 N 55TH ST, MILWAUKEE, WI 53210-1560
(414) 324-9688
(414) 988-5387
Mailing address
2815 N 55TH ST, MILWAUKEE, WI 53210-1560
(414) 324-9688
(414) 988-5387
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016230
—
WI
Enumeration date
03/01/2012
Last updated
03/01/2012
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