Organization
LAKELAND MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MACK (VICE PRESIDENT)
(269) 983-8399
Entity
Organization
Contact information
Practice address
211 HILLTOP RD, SUITE S, SAINT JOSEPH, MI 49085-2300
(269) 983-0202
(269) 982-0224
Mailing address
211 HILLTOP RD, SUITE S, SAINT JOSEPH, MI 49085-2300
(269) 983-0202
(269) 982-0224
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4767427
—
MI
Enumeration date
05/23/2006
Last updated
08/22/2020
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