Organization
LINCOLN LAKES MEDICAL SUPPLY, LLC
Active
Organization
LINCOLN LAKES MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER HERBERT GULESIAN RRT (MANAGER)
(207) 403-9411
Entity
Organization
Contact information
Practice address
150 W BROADWAY STE 2, LINCOLN, ME 04457-4003
(207) 403-9411
(207) 403-9415
Mailing address
150 WEST BROADWAY SUITE 2, LINCOLN, ME 04457
(207) 794-5356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
01/28/2019
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