Organization
LYNDER MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA DELUCA-RAHE (RN/OWNER)
(859) 525-6623
Entity
Organization
Contact information
Practice address
2040 MADISON AVE, COVINGTON, KY 41014-1210
(859) 525-6623
(859) 525-6757
Mailing address
2040 MADISON AVE, COVINGTON, KY 41014-1210
(859) 525-6623
(859) 525-6757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
278390
KY
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000527338
BLUE CROSS BLUE SHIELD
—
05
—
2769482
—
OH
05
—
7100011480
—
KY
Enumeration date
08/05/2007
Last updated
06/17/2009
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