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Organization

LORMED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA RENEE HARRIS (CEO)
(618) 244-2850
Entity
Organization

Contact information

Practice address
3307 BROADWAY ST, SUITE 150, MOUNT VERNON, IL 62864-2387
(618) 244-2850
Mailing address
3307 BROADWAY ST, SUITE 150, MOUNT VERNON, IL 62864-2387
(618) 244-2850

Taxonomy

Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
203001348
IL

Other

Enumeration date
09/12/2011
Last updated
02/06/2012
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