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Organization

L & J DURABLE MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOE F. MAYS (OFFICE MANAGER)
(276) 889-2783
Entity
Organization

Contact information

Practice address
160 ROGERS ST, LEBANON, VA 24266
(276) 889-2783
(276) 889-3971
Mailing address
PO BOX 493, LEBANON, VA 24266-0493
(276) 889-2783
(276) 889-3971

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009111212
VA
Enumeration date
10/02/2006
Last updated
06/25/2008
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