Provider Demographics
NPI:1578396792
Name:LIFE LONG LESSONS LLC
Entity type:Organization
Organization Name:LIFE LONG LESSONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:TAMARA
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-536-9655
Mailing Address - Street 1:5440 CRENSHAW BLVD # 44
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-2408
Mailing Address - Country:US
Mailing Address - Phone:424-536-9655
Mailing Address - Fax:
Practice Address - Street 1:706 MCDONALD AVE APT 314
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-5364
Practice Address - Country:US
Practice Address - Phone:424-536-9655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)