NPI 1477862241

Lakeside Home Medical Equipment INC

Organisation Oxygen Equipment & Supplies (DME) Russell Springs, KY

Practice location

Address: 2418 S Highway 76, Russell Springs, KY 42642-8845
Phone: (270) 866-2271
Mailing address: PO Box 587, Russell Springs, KY 42642-0587

Authorised official

Name: Shella Ann Harris
Title: President
Phone: (270) 866-2271

Registered specialties

Oxygen Equipment & Supplies (DME) Primary

Suppliers Taxonomy 332BX2000X

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Registry record

NPI: 1477862241
Entity type: Organization
NPI issued: 28 Sep 2010
Record last updated: 28 Sep 2010

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.