Healthcare Provider Details

I. General information

NPI: 1568221729
Provider Name (Legal Business Name): LAZ PARKING LTD, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 ANN UCCELLO ST
HARTFORD CT
06103-2010
US

IV. Provider business mailing address

1 FINANCIAL PLZ FL 14
HARTFORD CT
06103-2601
US

V. Phone/Fax

Practice location:
  • Phone: 860-761-2547
  • Fax:
Mailing address:
  • Phone: 860-522-7641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN WILKINS
Title or Position: SENIOR MANAGER, TRANSPORTATION SERV
Credential:
Phone: 860-402-8637