# LR MEDISUPPORT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366197535
- **Authorized official:** ANGIE MORIN (CEO)
- **Authorized official phone:** (800) 531-5920

## Contact information

- **Practice address:** 19790 W DIXIE HWY STE 903, AVENTURA, FL 33180-2298
- **Practice address phone:** (800) 531-5920
- **Mailing address:** 19790 W DIXIE HWY STE 903, AVENTURA, FL 33180-2298
- **Mailing address phone:** (800) 531-5920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 06/08/2023