Healthcare Provider Details

I. General information

NPI: 1912031790
Provider Name (Legal Business Name): D.C. LAMARR CONTRACTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 ROCK ROAD
SICILY ISLAND LA
71368
US

IV. Provider business mailing address

PO BOX 459
SICILY ISLAND LA
71368-0459
US

V. Phone/Fax

Practice location:
  • Phone: 318-389-8001
  • Fax: 318-744-5920
Mailing address:
  • Phone: 318-389-8001
  • Fax: 318-744-5920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateLA

VIII. Authorized Official

Name: DOROTHY CASTON OLIVER
Title or Position: OWNER
Credential:
Phone: 318-389-8001