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Lcp Medical Direct LLC

Durable Medical Equipment & Medical Supplies in Indianapolis, IN. Organization (NPI-2).

NPI number1003133240
StatusActive
Last updated in NPPESOct 10, 2011

Details

NPI
1003133240
Entity type
Organization (NPI-2)
Legal business name
Lcp Medical Direct LLC
Organization subpart
No
Enumeration date
Apr 28, 2010
Last updated
Oct 10, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies0102114331INYes

Practice location

4308 Guion Rd Ste A
Indianapolis, IN 46254-3143

Phone 765-749-3791 · Fax 317-388-9151

Mailing address

4308 Guion Rd Ste A
Indianapolis, IN 46254-3143

Phone 317-388-9150 · Fax 317-291-6004

Authorized official

Lavonnda S Raines
President
3173889150

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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