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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