# LIFE MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1730882390
- **Authorized official:** LONNIE BLAKE DORCEY (PRESIDENT)
- **Authorized official phone:** (205) 566-1674

## Contact information

- **Practice address:** 444 HOLDERRIETH BLVD STE 6, TOMBALL, TX 77375-4553
- **Practice address phone:** (281) 351-6216
- **Mailing address:** PO BOX 550309, BIRMINGHAM, AL 35255-0309
- **Mailing address phone:** (205) 631-8915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2023
- **Last updated:** 03/23/2023