# L.S. MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1851612055
- **Authorized official:** JONATHAN M LEICHLITER (CEO / OWNER)
- **Authorized official phone:** (903) 574-3335

## Contact information

- **Practice address:** 524 E FRONT ST, TYLER, TX 75702-8214
- **Practice address phone:** (903) 593-8310
- **Practice address fax:** (903) 535-7961
- **Mailing address:** 524 E FRONT ST, TYLER, TX 75702-8214
- **Mailing address phone:** (903) 593-8310
- **Mailing address fax:** (903) 535-7961

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2010
- **Last updated:** 06/22/2010