Organization
LC MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY RUIZ COSTALES (OWNER)
(559) 686-1288
Entity
Organization
Contact information
Practice address
236 E KING AVE, TULARE, CA 93274-4110
(559) 686-1288
(559) 686-2553
Mailing address
236 E KING AVE, TULARE, CA 93274-4110
(559) 686-1288
(559) 686-2553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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