Basic Information
| Provider Information | |||||||||
| NPI: | 1255546073 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | L & E TRANSPORTATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 809 POLK ST | ||||||||
| Address2: | |||||||||
| City: | MANSFIELD | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710522413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3188715566 | ||||||||
| FaxNumber: | 3188711076 | ||||||||
| Practice Location | |||||||||
| Address1: | 809 POLK ST | ||||||||
| Address2: | |||||||||
| City: | MANSFIELD | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710522413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3188715566 | ||||||||
| FaxNumber: | 3188711076 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WEBB | ||||||||
| AuthorizedOfficialFirstName: | GEORGE | ||||||||
| AuthorizedOfficialMiddleName: | CURTIS | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3188715566 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 343900000X | A801237 | LA | Y | Transportation Services | Non-emergency Medical Transport (VAN) |
ID Information
| ID | Type | State | Issuer | Description | 1611671 | 05 | LA | MEDICAID |