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Organization
LANER DIALYSIS SUPPLY CO., LLC
Active
Organization
LANER DIALYSIS SUPPLY CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICITAS C. ESPIRITU (MEMBER)
(304) 720-5050
Entity
Organization
Contact information
Practice address
153 CHURCH CAMP RD, HURRICANE, WV 25526-9261
(304) 720-5050
(304) 720-5050
Mailing address
24 MACCORKLE AVE SW, SUITE 200, SOUTH CHARLESTON, WV 25303-1476
(304) 720-5050
(304) 720-5050
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
0353710-001
WV
Other
Enumeration date
09/14/2005
Last updated
08/22/2020
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