LC Sleep Solutions LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LC SLEEP SOLUTIONS LLC

Practice address

2001 E Lohman Ave Ste 122
Las Cruces, NM 88001-3195

Phone

(755) 274-7465

Fax

(575) 904-7152

NPI assigned

Jan 10, 2020

Last updated

Feb 18, 2020By 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

Mathew PetersenNPI 1215249917

Title

Owner

Phone

(480) 233-6944

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Mathew C Petersen, DDS

  • General Practice Dentistry
  • Las Cruces, NM
  • NPI 1215249917
  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1669012241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE STE 122",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013195",
            "telephone_number": "575-363-3004",
            "fax_number": "575-904-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE STE 122",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013195",
            "telephone_number": "755-274-7465",
            "fax_number": "575-904-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-233-6944"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lazar
• Lazaro Surgical Suites LLC
• Corine Belle Lazaro, CNP
• Richard W Lazaro, MD
• Cierra Lazos, RN
• LC-ENT, LLC
• Monica Le Baron, CCHW
• Tina Trinh Le, PT, DPT
• David P. Leachman, M.D.
• Cynthia League, LMHC

• Customized Equipment (DME) in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Customized Equipment (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.