Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1861946717 |
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| LBN Legal business name | LISA SINDELAR-OVERLEESE | ||||||||||||
| Authorized official | LISA SINDELAR OVERLEESE - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/09/2016 | ||||||||||||
| Last updated | 08/09/2016 - About 10 years ago | ||||||||||||
| Identifiers |
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