Organization
L&M MEDICAL EQUIPMENT, INC
Active
Other names
PULMONARY HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L PENNINGTON (ADMINISTRATOR/CEO)
(606) 376-8715
Entity
Organization
Contact information
Practice address
68 MEDICAL LN, WHITLEY CITY, KY 42653-4216
(606) 376-4444
(606) 376-3444
Mailing address
PO BOX 31, MARSHES SIDING, KY 42631-0031
(606) 376-8715
(606) 376-3444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
165788
KY
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45003431
KY MEDICAID EPSDT
KY
05
—
90269077
—
KY
Enumeration date
07/07/2005
Last updated
09/23/2009
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