Lysa Transportation Service LLC
NPI #1003303538 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1003303538
- Entity Type
- Organization
- Organization Name
- Lysa Transportation Service LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Apr 19, 2018
- Last Updated
- Apr 19, 2018
Practice Location
- Address
- 3118 WALLACE DR
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71119-3306
- Phone
- (318) 572-2566
Authorized Official
- Name
- CEDRIQUZE JOHNSON
- Title
- OWNER
- Phone
- (318) 572-2566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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