Organization
LOBDALE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUNG OKORO ANYANWU (OWNER/DIRECTOR)
(225) 932-9161
Entity
Organization
Contact information
Practice address
1111 N LOBDELL AVE STE E, BATON ROUGE, LA 70806-8832
(225) 932-9161
(225) 932-9161
Mailing address
1111 N LOBDELL AVE STE E, BATON ROUGE, LA 70806-8832
(225) 932-9161
(225) 932-9161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721689
—
LA
Enumeration date
07/17/2006
Last updated
06/20/2008
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