Organization
LJLMEDICAL ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JORDAN LACKEY CPC (OWNER)
(985) 726-0984
Entity
Organization
Contact information
Practice address
34030 TUPELO LN, SLIDELL, LA 70460-3028
(985) 726-0984
(985) 726-0985
Mailing address
34030 TUPELO LN, SLIDELL, LA 70460-3028
(985) 726-0984
(985) 726-0985
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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