Organization
LAKE NORMAN MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE P HOUSTON (VICE PRESIDENT)
(704) 838-0587
Entity
Organization
Contact information
Practice address
693 N MAIN ST, TROUTMAN, NC 28166
(704) 838-0587
(704) 838-0589
Mailing address
693 N MAIN ST, TROUTMAN, NC 28166
(704) 838-0587
(704) 838-0589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703510
—
NC
Enumeration date
10/27/2005
Last updated
12/03/2007
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