Organization
LAVELLS TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TORRANCE LAVELL EVANS (PRESIDENT)
(414) 464-3686
Entity
Organization
Contact information
Practice address
5767 N 98TH ST, MILWAUKEE, WI 53225-2507
(414) 464-3686
(414) 464-5332
Mailing address
5767 N 98TH ST, MILWAUKEE, WI 53225-2507
(414) 464-3686
(414) 464-5332
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
41473200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41473200
PROVIDER NUMBER
WI
Enumeration date
12/14/2006
Last updated
01/21/2008
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