NPI: 1174115919 · ENGLEWOOD, CO 80112 · Land Ambulance · NPI assigned 02/03/2021
| Authorized Official | CARLSON, MELISSA (OWNER/CFO) |
| NPI Enumeration Date | 02/03/2021 |
Other providers sharing the same authorized official: CARLSON, MELISSA
| Provider | City | State | Total Paid |
|---|---|---|---|
| LZP DENTAL ENTERPRISES, LLC | POCAHONTAS | IA | $153.20 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 18 | $324.36 |
| 2022 | 16 | $106.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 34 | 30 | $430.36 |