Organization
LYMPHEDEMA AND MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY RONNEBAUM PT, DPT (MEMBER)
(702) 580-8125
Entity
Organization
Contact information
Practice address
4215 S GRAND CANYON DR STE 101, LAS VEGAS, NV 89147-7173
(702) 448-6042
Mailing address
8355 LAGUNILLA AVE, LAS VEGAS, NV 89149-4730
(702) 580-8125
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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