Organization
LAUREL MEDICAL SUPPLIES, INC.
Active
Parent organization
LAUREL MEDICAL SUPPLIES, INC.
Other names
Frederick Medical Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAUREL MEDICAL SUPPLIES, INC.
Authorized official
MR. JOHN J LETIZIA ATP (PRESIDENT)
(814) 472-5591
Entity
Organization
Contact information
Practice address
179B THOMAS JOHNSON DRIVE, FREDERICK, MD 21702-4871
(301) 378-2266
(301) 378-2204
Mailing address
179B THOMAS JOHNSON DRIVE, FREDERICK, MD 21702-4871
(301) 378-2266
(301) 378-2204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2549
MD
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412780300
—
MD
Enumeration date
04/14/2008
Last updated
07/11/2011
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