Provider Demographics
NPI:1730754128
Name:LMN, LLC
Entity type:Organization
Organization Name:LMN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-514-2568
Mailing Address - Street 1:4580 HIGHWAY 127 N
Mailing Address - Street 2:
Mailing Address - City:NEW LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:40355-9052
Mailing Address - Country:US
Mailing Address - Phone:502-514-2568
Mailing Address - Fax:
Practice Address - Street 1:4580 HIGHWAY 127 N
Practice Address - Street 2:
Practice Address - City:NEW LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:40355-9052
Practice Address - Country:US
Practice Address - Phone:502-514-2568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty