LCS-MW LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LCS-MW LLC

Doing business as

Monticello West

Practice address

5114 McKinney Ave
Dallas, TX 75205-3327

Phone

(214) 528-0660

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Bridgewater

Title

Executive VP and Secretary

Phone

(515) 875-4768

Specialties & licenses 2

Addresses

Other names 1

• Monticello West Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laila N Hirjee, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1588678437
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1023691771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST STE 820",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092334",
            "telephone_number": "515-875-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053327",
            "telephone_number": "214-528-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCS-MW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE VP AND SECRETARY",
        "authorized_official_telephone_number": "515-875-4768"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roee Lazebnik, M.D., PH.D.
• LBG Consulting, LLC
• LBJ Pain and Injury
• LCL Mental Health Services (North Texas DBT Associates)
• LCS-Al LLC (Autumn Leaves)
• LCS-SP LLC (Signature Pointe)
• LCS-WP LLC (Walnut Place)
• LD Anesthesia Consultants, PLLC
• LD Wellness PLLC
• Dana Ann Le Blanc, OT

• Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.