Lincoln Lakes Medical Supply, LLC

NPI #1922587427 in Lincoln, Maine

Provider Information

NPI Number: 1922587427
Entity Type: Organization
Organization Name: Lincoln Lakes Medical Supply, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Aug 7, 2018
Last Updated: Jan 28, 2019

Practice Location

Address: 150 W BROADWAY STE 2
City: Lincoln
State: Maine
ZIP Code: 04457-4003
Phone: (207) 403-9411

Authorized Official

Name: MR. CHRISTOPHER HERBERT GULESIAN, RRT
Title: MANAGER
Phone: (207) 403-9411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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