# LIFE MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1689671836
- **Authorized official:** MR. LONNIE B DORCEY (PRESIDENT)
- **Authorized official phone:** (205) 566-1674

## Contact information

- **Practice address:** 224 N MCCOLL RD STE A, MCALLEN, TX 78501-9310
- **Practice address phone:** (956) 994-3600
- **Practice address fax:** (956) 994-3612
- **Mailing address:** PO BOX 550309, BIRMINGHAM, AL 35255-0309
- **Mailing address phone:** (205) 566-1674
- **Mailing address fax:** (205) 278-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0079549A | TX | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 03/09/2022