Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1083657753 |
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| LBN Legal business name | AMELIA GAYLE LEE | ||||||||||||||||
| Authorized official | AMELIA LEE - (OWNER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 06/13/2006 | ||||||||||||||||
| Last updated | 06/13/2008 - About 18 years ago | ||||||||||||||||
| Identifiers |
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