Organization
LACAM ENTERPRISE LLC
Active
Other names
LACAM Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DERRICK ELY (PRESIDENT)
(318) 779-1512
Entity
Organization
Contact information
Practice address
7505 PINES ROAD, SUITE 1200-I, SHREVEPORT, LA 71129
(318) 779-1512
(318) 779-1487
Mailing address
7505 PINES ROAD, SUITE 1200-I, SHREVEPORT, LA 71129
(318) 779-1512
(318) 779-1487
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1322181
—
LA
Enumeration date
08/10/2010
Last updated
08/10/2010
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