Organization
LJ MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE WESLEY BOATRIGHT JR. (OWNER CEO)
(520) 979-1915
Entity
Organization
Contact information
Practice address
2550 E LIND RD, 27, TUCSON, AZ 85716-1538
(520) 979-1915
Mailing address
2550 E LIND RD, 27, TUCSON, AZ 85716-1538
(520) 979-1915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3033196
AZ
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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