MEDICARE: L & M, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	533283	OTHER	TX	BCBS OF TEXAS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043544463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & M, INC.

Provider Business Mailing Address
First Line	:	PO BOX 6011
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78523-6011
Country	:	US
Telephone Number	:	956-546-1900
Fax Number	:	956-546-1905

Provider Business Practice Location Address
First Line	:	3505 BOCA CHICA BLVD
Second Line	:	SUITE 116
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-4214
Country	:	US
Telephone Number	:	956-546-1900
Fax Number	:	956-546-1905

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GUADALUPE S RIVERA
Credential	:
Telephone Number	:	956-546-1900

Provider Enumeration Date	:	10/01/2009
Last Update Date	:	12/27/2010

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Directions to “L & M, INC. ” Practice Location

Language	Start Address	Practice Location

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