LCP Medical Direct LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0102114331 Issued in IN

Legal business name

LCP MEDICAL DIRECT LLC

Practice address

4308 Guion Rd Ste a
Indianapolis, IN 46254-3143

Phone

(765) 749-3791

Fax

(317) 388-9151

NPI assigned

Apr 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lavonnda S Raines

Title

President

Phone

(317) 388-9150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1003133240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 GUION RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543143",
            "telephone_number": "317-388-9150",
            "fax_number": "317-291-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 GUION RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543143",
            "telephone_number": "765-749-3791",
            "fax_number": "317-388-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCP MEDICAL DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "LAVONNDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-388-9150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0102114331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200319370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Branko Lazarevic, M.D.
• Kenneth Hillard Lazarus, M.D.
• Jamie Lazin, DMD, MS, MSD
• Jayson Ringpis Lazo
• Whitney Lazzara, RD
• Andrew N Le, CAA
• Brenda Le, PA-C
• Catherine Ann Le, PA-C
• Chanh Minh Le, D.D.S.
• Dennis Viet Le, CAA

• Durable Medical Equipment & Medical Supplies in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.