Organization
L&T MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE OMOWUNMI ALAGA (PRESIDENT)
(702) 658-8028
Entity
Organization
Contact information
Practice address
6704 W CHEYENNE AVE, LAS VEGAS, NV 89108-4588
(702) 658-8028
(702) 656-7394
Mailing address
6704 W CHEYENNE AVE, LAS VEGAS, NV 89108-4588
(702) 658-8028
(702) 656-7394
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
H13002342112206
NV
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
H13-00234-2-112206
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503791
—
NV
Enumeration date
08/12/2006
Last updated
09/23/2009
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