MEDICARE: LMS HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1538785902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LMS HEALTH LLC

Provider Business Mailing Address
First Line	:	2001 W MAIN ST STE 244
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-4544
Country	:	US
Telephone Number	:	203-298-9322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 W MAIN ST STE 244
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-4544
Country	:	US
Telephone Number	:	203-298-9322
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY GIUDICE
Credential	:
Telephone Number	:	203-298-9322

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	06/22/2020

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Directions to “LMS HEALTH LLC ” Practice Location

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