Organization
LAKESIDE SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY B. SPELL (PRESIDENT)
(832) 248-4826
Entity
Organization
Contact information
Practice address
16650 ST. HWY 3, A-81, WEBSTER, TX 77598
(832) 248-4826
(832) 224-4865
Mailing address
16650 STATE HWY 3, A-81, WEBSTER, TX 77598
(832) 248-4826
(832) 224-4865
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NA
TX
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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