Healthcare Provider Details

I. General information

NPI: 1336436609
Provider Name (Legal Business Name): LET'S GO TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 07/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8235 GREENWELL SPRINGS RD APT 21
BATON ROUGE LA
70814-2205
US

IV. Provider business mailing address

8235 GREENWELL SPRINGS RD APT 21
BATON ROUGE LA
70814-2205
US

V. Phone/Fax

Practice location:
  • Phone: 225-266-6847
  • Fax: 225-448-2992
Mailing address:
  • Phone: 225-266-6847
  • Fax: 225-448-2992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. ALFRED LOFTON JR.
Title or Position: CEO
Credential:
Phone: 225-266-6847