Healthcare Provider Details

I. General information

NPI: 1366946824
Provider Name (Legal Business Name): LRT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 03/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7766 ALABAMA ST
NEW ORLEANS LA
70126-1310
US

IV. Provider business mailing address

PO BOX 26014
NEW ORLEANS LA
70186-6014
US

V. Phone/Fax

Practice location:
  • Phone: 504-975-8214
  • Fax: 504-826-9049
Mailing address:
  • Phone: 504-975-8214
  • Fax: 504-826-9049

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. TYRONE LOVE
Title or Position: REGISTERED AGENT
Credential:
Phone: 504-975-8214