NPI 1003303538

Lysa Transportation Service LLC

Organisation Non-emergency Medical Transport (VAN) Shreveport, LA

Practice location

Address: 3118 Wallace Dr, Shreveport, LA 71119-3306
Phone: (318) 572-2566

Authorised official

Name: Cedriquze Johnson
Title: Owner
Phone: (318) 572-2566

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X

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Registry record

NPI: 1003303538
Entity type: Organization
NPI issued: 19 Apr 2018
Record last updated: 19 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.