Lestat Corp
NPI #1053950915 in Lyndhurst, New Jersey
Provider Information
- NPI Number
- 1053950915
- Entity Type
- Organization
- Organization Name
- Lestat Corp
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 24, 2019
- Last Updated
- Feb 14, 2020
Practice Location
- Address
- 651 RIVERSIDE AVE APT C47
- City
- Lyndhurst
- State
- New Jersey
- ZIP Code
- 07071-3069
- Phone
- (201) 335-0134
Authorized Official
- Name
- NAZAR BURAK
- Title
- OWNER
- Phone
- (201) 747-0141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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