Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1679843098 |
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| LBN Legal business name | BEAUREGARD MEDICAL SUPPLY LLC | ||||
| Authorized official | JOHN LOFTIN - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/02/2012 | ||||
| Last updated | 01/02/2012 - About 14 years ago | ||||
| Identifiers |
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