Organization
REGINA M LASSABE
Active
Other names
Family Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA M LASSABE (OWNER)
(641) 216-8217
Entity
Organization
Contact information
Practice address
209 E MAPLE ST, STE 6, CENTERVILLE, IA 52544-2200
(641) 216-8217
(641) 216-8218
Mailing address
209 E MAPLE ST, STE 6, CENTERVILLE, IA 52544-2200
(641) 216-8217
(641) 216-8218
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
104007626
IA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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