Organization
LAN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE FOSTER (BUSINESS ADMINISTRATOR)
(269) 350-4612
Entity
Organization
Contact information
Practice address
12057 W INDIAN LAKE DR, VICKSBURG, MI 49097-9338
(269) 598-8330
Mailing address
PO BOX 562, PORTAGE, MI 49081-0562
(269) 350-4612
(269) 397-2208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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