Organization
LAK MEDICAL SUPPLY AND SEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLINS KIMBENG (PRESIDENT)
(225) 924-0620
Entity
Organization
Contact information
Practice address
6554 FLORIDA BLVD, BATON ROUGE, LA 70806-4474
(225) 924-0620
Mailing address
6554 FLORIDA BLVD, BATON ROUGE, LA 70806-4474
(225) 924-0620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471267
—
LA
Enumeration date
11/28/2006
Last updated
08/22/2020
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