Organization
J LYNN MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATEESE G. FORD (PRESIDENT)
(281) 738-3055
Entity
Organization
Contact information
Practice address
1691 PHOENIX BLVD STE 280, ATLANTA, GA 30349-5565
(281) 738-3055
(866) 284-6279
Mailing address
1691 PHOENIX BLVD STE 280, ATLANTA, GA 30349-5565
(281) 738-3055
(866) 284-6279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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