MEDICARE: LOUISA IRANKUNDA

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1255182648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISA IRANKUNDA

Provider Business Mailing Address
First Line	:	459 DOUGLAS AVE
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40508-1061
Country	:	US
Telephone Number	:	515-587-7572
Fax Number	:

Provider Business Practice Location Address
First Line	:	459 DOUGLAS AVE
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40508-1061
Country	:	US
Telephone Number	:	515-587-7572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	03/01/2026

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Directions to “ LOUISA IRANKUNDA ” Practice Location

Language	Start Address	Practice Location

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