Healthcare Provider Details
I. General information
NPI: 1528979846
Provider Name (Legal Business Name): LEGION GOVERNMENT LOGISTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
151 SOUTHPARK RD STE 201
LAFAYETTE LA
70508-2900
US
IV. Provider business mailing address
151 SOUTHPARK RD STE 201
LAFAYETTE LA
70508-2900
US
V. Phone/Fax
- Phone: 337-501-3385
- Fax: 337-340-9263
- Phone: 337-501-3385
- Fax: 337-340-9263
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEX
WEINSHEIMER
Title or Position: COO
Credential:
Phone: 337-501-3385