Legacy Lane Transportation LLC
Non-emergency Medical Transport (VAN) in Wauwatosa, WI. Organization (NPI-2).
NPI number1144166299
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1144166299
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Lane Transportation LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2026
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
2762 N Wauwatosa AveWauwatosa, WI 53222-5006
Phone 414-458-4259
Mailing address
2762 N Wauwatosa AveWauwatosa, WI 53222-5006
Phone 414-458-4259
Authorized official
Stephen Jordan
Owner/Operator
4144584259
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All 14 Non-emergency Medical Transport (VAN) providers in Wauwatosa · All 2,300 providers in Wauwatosa
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