Organization
LIFE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE BLAKE DORCEY (PRESIDENT)
(205) 566-1674
Entity
Organization
Contact information
Practice address
444 HOLDERRIETH BLVD STE 6, TOMBALL, TX 77375-4553
(281) 351-6216
Mailing address
PO BOX 550309, BIRMINGHAM, AL 35255-0309
(205) 631-8915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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