Organization
LC SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW PETERSEN (OWNER)
(480) 233-6944
Entity
Organization
Contact information
Practice address
2001 E LOHMAN AVE STE 122, LAS CRUCES, NM 88001-3195
(755) 274-7465
(575) 904-7152
Mailing address
2001 E LOHMAN AVE STE 122, LAS CRUCES, NM 88001-3195
(575) 363-3004
(575) 904-7152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
02/18/2020
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