Organization
LOUISIANA MEDICAL SUPPLY. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C HOLLEMAN III (PRESIDENT)
(337) 369-6000
Entity
Organization
Contact information
Practice address
1986 EAST MAIN STREET, NEW IBERIA, LA 70560
(337) 369-6000
(337) 369-6024
Mailing address
PO BOX 10226, NEW IBERIA, LA 70562-0226
(337) 369-6000
(337) 369-6024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1958433
—
LA
01
—
B2977
BLUE CROSS BLUE SHIELD
LA
Enumeration date
01/24/2006
Last updated
01/29/2014
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