Provider Demographics
NPI:1497124457
Name:ALFORD, LINWOOD LAMONT
Entity type:Individual
Prefix:MR
First Name:LINWOOD
Middle Name:LAMONT
Last Name:ALFORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 WINDOMERE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-2956
Mailing Address - Country:US
Mailing Address - Phone:678-520-1031
Mailing Address - Fax:804-658-2793
Practice Address - Street 1:705 WINDOMERE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2956
Practice Address - Country:US
Practice Address - Phone:678-520-1031
Practice Address - Fax:804-658-2793
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)