Organization
DELTA SLEEP'S CPAP STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE JOSEPH LEHANE II (OWNER/PRESIDENT)
(309) 663-2727
Entity
Organization
Contact information
Practice address
2416 E WASHINGTON ST, STE. D4, BLOOMINGTON, IL 61704-4472
(309) 663-2727
(309) 663-1818
Mailing address
2416 E WASHINGTON ST, STE. D4, BLOOMINGTON, IL 61704-4472
(309) 663-2727
(309) 663-1818
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/03/2011
Last updated
04/30/2014
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