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Organization

LYNNCORE MEDGROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA LYNN CATES (PRESIDENT)
(877) 892-6226
Entity
Organization

Contact information

Practice address
5464 TEXOMA PKWY, SHERMAN, TX 75090-2142
(877) 892-6226
(888) 625-9899
Mailing address
5464 TEXOMA PKWY, SHERMAN, TX 75090-2142
(877) 892-6226
(888) 625-9899

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0043228
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003124518
CT
05
03571381
MS
05
100251315000
NE
05
100371860A
KS
05
146253716
AR
05
1467758
LA
05
166335301
TX
05
200059620A
OK
05
200422920A
IN
05
625233903
MO
05
688029645A
GA
05
874649657
MI
05
885618
AZ
Enumeration date
07/22/2006
Last updated
05/24/2010
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