Organization
LITE SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A MEHTAB (CEO)
(347) 849-4835
Entity
Organization
Contact information
Practice address
2087 E 30 N, SPANISH FORK, UT 84660-5893
(347) 849-4835
Mailing address
2087 E 30 N, SPANISH FORK, UT 84660-5893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
About Stedi
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