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Organization

LODI SICK ROOM SUPPLY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY CANEPA (PRESIDENT)
(209) 369-3641
Entity
Organization

Contact information

Practice address
340 S FAIRMONT AVE, LODI, CA 95240-3802
(209) 369-3641
(209) 369-4618
Mailing address
340 S FAIRMONT AVE, LODI, CA 95240-3802
(209) 369-3641
(209) 369-4618

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
ZZZ49755Z
CA
332BC3200X
Customized Equipment (DME)
Primary
ZZZ49755Z
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ49755Z
CA
Enumeration date
07/21/2006
Last updated
09/11/2025
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