Organization
LIONHEART HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RANDALL SUKMAN MD (OWNER)
(417) 337-4802
Entity
Organization
Contact information
Practice address
2331 S BUSINESS HIGHWAY 65, HOLLISTER, MO 65672-5105
(417) 337-4802
(417) 339-9133
Mailing address
2331 S BUSINESS HIGHWAY 65, HOLLISTER, MO 65672-5105
(417) 337-4802
(417) 339-9133
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
06/28/2008
Last updated
06/28/2008
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