Provider Demographics
NPI:1538943550
Name:L & D LOGISTICS
Entity type:Organization
Organization Name:L & D LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAWIT
Authorized Official - Middle Name:Y
Authorized Official - Last Name:TEWOLDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-200-8944
Mailing Address - Street 1:1206 S TROY ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4441
Mailing Address - Country:US
Mailing Address - Phone:719-200-8944
Mailing Address - Fax:
Practice Address - Street 1:1206 S TROY ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4441
Practice Address - Country:US
Practice Address - Phone:719-200-8944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker