Lakeside Medical

NPI #1689832016 in Gardnerville, Nevada

Provider Information

NPI Number
1689832016
Entity Type
Organization
Organization Name
Lakeside Medical
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 2, 2008
Last Updated
Jun 2, 2008

Practice Location

Address
1482 IRENE CT
State
Nevada
ZIP Code
89460-8205
Phone
(775) 265-4072

Authorized Official

Name
ISAIAH TANNACI
Title
OWNER
Phone
(775) 265-4072

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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