IndividualActive
Lee Maryland
NPI 1912185240 · Home Modifications Contractor · Hammond, LA
Provider details
- NPI number
- 1912185240
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- HI.0552691 (LA)
Specialties & taxonomies
Other Service Providers
Practice location
119 W Green St
Hammond, LA 70403-4807
Phone: (985) 351-8865
Fax: (775) 254-9828
Approximate (ZIP-level) locationGet directions
Mailing address
119 W Green St
Hammond, LA 70403-4807
Registry dates
- Enumerated
- 2008-02-08
- Last updated
- 2008-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.