MEDICARE: LMN ENTERPRISES, LLC

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1093979445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LMN ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	3640 OCEAN RANCH BLVD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2669
Country	:	US
Telephone Number	:	760-433-3315
Fax Number	:	760-433-6110

Provider Business Practice Location Address
First Line	:	3640 OCEAN RANCH BLVD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2669
Country	:	US
Telephone Number	:	760-433-3315
Fax Number	:	760-433-6110

Authorized Official
Title or Position	:	CEO
Name	:	LEANNE MARIE MIX
Credential	:
Telephone Number	:	760-433-3315

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	07/15/2008

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Directions to “LMN ENTERPRISES, LLC ” Practice Location

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