Provider Demographics
NPI:1184406506
Name:LAMN LLC
Entity type:Organization
Organization Name:LAMN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:WMATC#3649
Authorized Official - Phone:240-795-1477
Mailing Address - Street 1:9704 CEDAR CREST WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7542
Mailing Address - Country:US
Mailing Address - Phone:240-795-1477
Mailing Address - Fax:
Practice Address - Street 1:9704 CEDAR CREST WAY
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-7542
Practice Address - Country:US
Practice Address - Phone:240-795-1477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)