Whalio Doctors

NPI 1205999356

Life Line Medical Equipment, INC

Organisation Durable Medical Equipment & Medical Supplies Leesville, LA

Practice location

Address
110 E Lula St Suite B, Leesville, LA 71446-4363
Phone
(337) 239-9100
Fax
(337) 239-9222

Authorised official

Name
Sylvia Dianne Bastow
Title
President
Phone
(337) 239-9100

Registered specialties (3)

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence 9086059-001 0 (LA)
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X Licence 9086059-001 0 (LA)
Oxygen Equipment & Supplies (DME)
Suppliers Taxonomy 332BX2000X Licence 9086059-001 0 (LA)

Registry record

NPI
1205999356
Entity type
Organization
NPI issued
19 Dec 2006
Record last updated
20 Apr 2008

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.