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Organization

LEWIS LEGENDARY TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATOYA BROWN (OWNER)
(903) 204-6480
Entity
Organization

Contact information

Practice address
722 ABITA CHASE, BOSSIER CITY, LA 71111-6436
(903) 204-6480
Mailing address
722 ABITA CHASE, BOSSIER CITY, LA 71111-6436
(903) 204-6480

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/25/2022
Last updated
03/11/2022
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