Lifetime Medical Supply Inc.

NPI #1497988984 in Streator, Illinois

Provider Information

NPI Number: 1497988984
Entity Type: Organization
Organization Name: Lifetime Medical Supply Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Aug 31, 2009
Last Updated: Aug 31, 2009

Practice Location

Address: 1215 N OTTERCREEK RD.
City: Streator
State: Illinois
ZIP Code: 61364
Phone: (815) 672-0670

Authorized Official

Name: MR. RICK GELSTHORPE
Title: PRESIDENT
Phone: (815) 672-0670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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