Organization
LAKE SUPERIOR MEDICAL EQUIPMENT INC
Active
Organization
LAKE SUPERIOR MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MENG (BUSINESS MANAGER)
(218) 727-0600
Entity
Organization
Contact information
Practice address
4730 MIKE COLALILLO DR, DULUTH, MN 55807-2723
(218) 727-0600
(218) 727-2209
Mailing address
4730 MIKE COLALILLO DR, DULUTH, MN 55807-2723
(218) 727-0600
(218) 727-2209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5762874
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125158900
—
MN
01
—
169334
UCARE
MN
01
—
275S9LA
BLUE CROSS BLUE SHIELD
MN
05
—
41725700
—
WI
01
—
8200355
MEDICA/SELECT CARE
MN
Enumeration date
06/13/2005
Last updated
06/17/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up