Healthcare Provider Details

I. General information

NPI: 1255255964
Provider Name (Legal Business Name): L.W PEST CONTROL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W BIG BEAVER RD STE 200
TROY MI
48084-5283
US

IV. Provider business mailing address

100 W BIG BEAVER RD STE 200
TROY MI
48084-5283
US

V. Phone/Fax

Practice location:
  • Phone: 586-804-4775
  • Fax:
Mailing address:
  • Phone: 586-804-4775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LEMUEL A WALLER JR.
Title or Position: OWNER
Credential: CEO
Phone: 586-422-3069