Mountain Lakes Medical Supply INC
NPI #1639250046 in Big Bear City, California
Provider Information
- NPI Number
- 1639250046
- Entity Type
- Organization
- Organization Name
- Mountain Lakes Medical Supply INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Jul 18, 2008
Practice Location
- Address
- 226 E. FAIRWAY BLVD
- City
- Big Bear City
- State
- California
- ZIP Code
- 92314-9050
- Phone
- (909) 585-1339
Authorized Official
- Name
- MARC K LAPHAM, RCP
- Title
- OWNER OPERATOR
- Phone
- (909) 585-1339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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