Organization
LANETT MEDICAL SUPPLIES & SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO BENS VEGA (PRESIDENT)
(334) 642-1524
Entity
Organization
Contact information
Practice address
119 VALLEY PLAZA SHOPPING CTR, LANETT, AL 36863-2075
(334) 642-1524
(334) 642-1526
Mailing address
119 VALLEY PLAZA SHOPPING CENTER, LANETT, AL 36863
(334) 642-1524
(334) 642-1526
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
06/21/2018
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