Provider Demographics
NPI:1023161668
Name:L & L MEDICAL, INC.
Entity type:Organization
Organization Name:L & L MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-533-2239
Mailing Address - Street 1:250 GOVERNORS DR SE STE C
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2710
Mailing Address - Country:US
Mailing Address - Phone:256-533-2239
Mailing Address - Fax:
Practice Address - Street 1:250 GOVERNORS DR SE STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-2710
Practice Address - Country:US
Practice Address - Phone:256-533-2239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL231332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0363940001Medicare ID - Type Unspecified