Organization
DESIREE QUIRK D/B/A LAGNIAPPE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESIREE T. QUIRK (OWNER/SOLE PROPRIETOR)
(985) 845-1448
Entity
Organization
Contact information
Practice address
303 COVINGTON ST, SUITE C, MADISONVILLE, LA 70447-9685
(985) 845-1448
(985) 845-1449
Mailing address
303 COVINGTON ST, SUITE C, MADISONVILLE, LA 70447-9685
(985) 845-1448
(985) 845-1449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
08068
LA
Other
Enumeration date
08/23/2006
Last updated
12/01/2009
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