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Organization
LANES-DME, INC.
Active
Organization
LANES-DME, INC.
Active
Other names
LANES MEDICAL SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BLAKE WOMBLE (CEO)
(229) 758-9111
Entity
Organization
Contact information
Practice address
210 W MAIN ST STE 3, COLQUITT, GA 39837-3434
(229) 758-9111
(229) 758-9000
Mailing address
210 W MAIN ST STE 3, COLQUITT, GA 39837-3434
(229) 758-9111
(229) 758-9000
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801046279A
—
GA
05
—
801046279B
—
GA
Enumeration date
03/19/2008
Last updated
08/30/2019
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