Liberty Lake Medical Supply, LLC
NPI #1366863789 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1366863789
- Entity Type
- Organization
- Organization Name
- Liberty Lake Medical Supply, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 2, 2014
- Last Updated
- Jan 2, 2014
Practice Location
- Address
- 22910 E APPLEWAY AVE STE 3
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019-8606
- Phone
- (509) 891-2856
Authorized Official
- Name
- MATTHEW JAMES BRUMWELL
- Title
- MANAGER/OWNER
- Phone
- (509) 710-5259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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