Liberty Lake Medical Supply

NPI #1164763405 in Liberty Lake, Washington

Provider Information

NPI Number
1164763405
Entity Type
Organization
Organization Name
Liberty Lake Medical Supply
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 12, 2013
Last Updated
Mar 12, 2013

Practice Location

Address
22910 E APPLEWAY AVE STE 3
ZIP Code
99019-8606
Phone
(509) 891-2856

Authorized Official

Name
CHRISTY LYNN CHAMBERLAIN
Title
PRESIDENT
Phone
(509) 891-2856

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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Provider Name
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