Individual
MR. LEE COLE WALKING EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
07/07/2022
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