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Organization

LAKESIDE MEDICAL SUPPLIERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN P CZUBAK (OWNER)
(517) 253-0098
Entity
Organization

Contact information

Practice address
1884 BIRCHWOOD DR, OKEMOS, MI 48864-2764
(517) 253-0098
(517) 253-0998
Mailing address
1884 BIRCHWOOD DR, OKEMOS, MI 48864-2764
(517) 253-0098
(517) 253-0998

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/08/2014
Last updated
10/08/2014
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