MEDICARE: LUCRATIVE TRANSPORTATION SOLUTIONS INC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1558235309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUCRATIVE TRANSPORTATION SOLUTIONS INC

Provider Business Mailing Address
First Line	:	5820 E W T HARRIS BLVD STE 109
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-3600
Country	:	US
Telephone Number	:	704-241-3730
Fax Number	:	980-206-3542

Provider Business Practice Location Address
First Line	:	5820 E W T HARRIS BLVD STE 109
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-3600
Country	:	US
Telephone Number	:	704-241-3730
Fax Number	:	980-206-3542

Authorized Official
Title or Position	:	OWNER
Name	:	COREY YOUNG
Credential	:
Telephone Number	:	704-241-3730

Provider Enumeration Date	:	10/03/2025
Last Update Date	:	10/03/2025

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