Organization
LG MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA O AGYEMAN (CEO)
(703) 670-3925
Entity
Organization
Contact information
Practice address
3108 PS BUSINESS CENTER DR, WOODBRIDGE, VA 22192-4258
(703) 670-3925
(703) 670-3924
Mailing address
6205 TARBERRY PL, WOODBRIDGE, VA 22193-4195
(571) 490-2187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
07/25/2012
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