Organization
LAKESHORE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY E NWEDO (PRESIDENT)
(469) 855-2279
Entity
Organization
Contact information
Practice address
9550 FOREST LN, SUITE 102, DALLAS, TX 75243-5905
(214) 348-9700
(214) 348-9701
Mailing address
9550 FOREST LN, SUITE 102, DALLAS, TX 75243-5905
(214) 348-9700
(214) 348-9701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
08/27/2008
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