Organization
ENHANCE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W LEMON MPT (OWNER/CEO)
(208) 233-4800
Entity
Organization
Contact information
Practice address
1033 W QUINN RD, POCATELLO, ID 83202-2425
(208) 233-4800
(208) 233-4887
Mailing address
1033 W QUINN RD, POCATELLO, ID 83202-2425
(208) 233-4800
(208) 233-4887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME16016
STATE OF IDAHO BOARD OF PHARMACY DME
ID
Enumeration date
04/07/2011
Last updated
07/12/2011
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