Organization
LARGOSTAR LLC
Active
Other names
Lionstar Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OSAGHIE HICKS (CHIEF OPERATIONS OFFICER)
(407) 801-8991
Entity
Organization
Contact information
Practice address
9801 GREENBELT RD STE 318, LANHAM, MD 20706-6231
(407) 801-8991
Mailing address
1231 GOOD HOPE ROAD, WASHINGTON, DC 20020
(407) 801-8991
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332U00000X
Home Delivered Meals
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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