Organization
AXIS MEDICAL PROVIDER SOLUTIONS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FONTENOT (OWNER)
(337) 623-2799
Entity
Organization
Contact information
Practice address
226 N. GUM STREET, MELVILLE, LA 71353-0076
(337) 623-2799
(337) 623-2799
Mailing address
PO BOX 76, MELVILLE, LA 71353-0076
(337) 623-2799
(337) 623-2799
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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