MEDICARE: LG TRANSPORT

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	:	1851253181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LG TRANSPORT

Provider Business Mailing Address
First Line	:	2918 N 108TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-3710
Country	:	US
Telephone Number	:	402-614-4277
Fax Number	:

Provider Business Practice Location Address
First Line	:	2918 N 108TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-3710
Country	:	US
Telephone Number	:	402-614-4277
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF MEDICAL SERVICES
Name	:	DAVID YELOVICH
Credential	:
Telephone Number	:	402-614-4277

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	12/08/2025

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Directions to “LG TRANSPORT ” Practice Location

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