LAKE SUPERIOR MEDICAL EQUIPMENT INC; NPI #1205129756

Contact Information

LAKE SUPERIOR MEDICAL EQUIPMENT INC

211 W HWY 61
GRAND MARAIS, MN 55604-1500

Phone: 218-387-1584
Fax: 218-387-1574
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for LAKE SUPERIOR MEDICAL EQUIPMENT INC

NPI Number 1205129756

LBN Legal business name LAKE SUPERIOR MEDICAL EQUIPMENT INC

Authorized official LAURIE KING - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/17/2011

Last updated 05/17/2011 - About 15 years ago

Identifiers

MN	License #	361203
MN	Medicaid	125158900
WI	Medicaid	41725700

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LAKE SUPERIOR MEDICAL EQUIPMENT INC

Contact Information

Specialty

Oxygen Equipment & Supplies

NPI Profile & details for LAKE SUPERIOR MEDICAL EQUIPMENT INC

Reviews for LAKE SUPERIOR MEDICAL EQUIPMENT INC