Organization
LIGHTHOUSE MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PANE (OWNER)
(860) 283-6248
Entity
Organization
Contact information
Practice address
120 S MAIN ST, THOMASTON, CT 06787-1746
(860) 283-6248
(860) 283-6247
Mailing address
120 S MAIN ST, P.O. BOX 464, THOMASTON, CT 06787-1746
(860) 283-6248
(860) 283-6247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/07/2015
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