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Contact Information

LAKESHORE RESPIRATORY THERAPY CARE SERVICES, INC
3203 LINCOLN AVE STE 2
TWO RIVERS, WI54241-1821
 Phone: 820-683-2068
 Fax: 920-683-9238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for LAKESHORE RESPIRATORY THERAPY CARE SERVICES, INC

NPI # 1598841298
LBN Legal business name LAKESHORE RESPIRATORY THERAPY CARE SERVICES, INC
Authorized official DANIEL HAILE - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 07/26/2018 - About 8 years ago
Identifiers
WI License # 9207-045
WI License # 9207-45
WI Other 9207-045 STATE DISTRIBUTOR LICENSE
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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