Organization
LSA INDUSTRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWABENA YEBOAH ACHEAMPONG (CEO)
(414) 364-7908
Entity
Organization
Contact information
Practice address
2302 FENCELINE DR, JACKSON, WI 53037-8931
(414) 364-7908
Mailing address
2302 FENCELINE DR, JACKSON, WI 53037-8931
(414) 364-7908
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100196551
—
WI
Enumeration date
03/31/2022
Last updated
03/31/2022
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