NPI 1003133240

Lcp Medical Direct LLC

Organisation Durable Medical Equipment & Medical Supplies Indianapolis, IN

Practice location

Address: 4308 Guion Rd STE a, Indianapolis, IN 46254-3143
Phone: (765) 749-3791
Fax: (317) 388-9151

Authorised official

Name: Lavonnda S Raines
Title: President
Phone: (317) 388-9150

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 0102114331 (IN)

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Registry record

NPI: 1003133240
Entity type: Organization
NPI issued: 28 Apr 2010
Record last updated: 10 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.