Organization
LACONIA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GRIMES (OWNER)
(603) 527-8131
Entity
Organization
Contact information
Practice address
484 PROVINCE RD STE 24, LACONIA, NH 03246-1378
(603) 527-8131
Mailing address
484 PROVINCE RD STE 24, LACONIA, NH 03246-1378
(603) 527-8131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
05/11/2022
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