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New Balance Lake St. Louis
Durable Medical Equipment & Medical Supplies in Lake St Louis, Missouri
NPI 1114165263

New Balance Lake St. Louis is a Durable Medical Equipment & Medical Supplies based in Lake St Louis, MO. New Balance Lake St. Louis practices in Lake St Louis, MO. The NPI Number for New Balance Lake St. Louis is 1114165263 and holds a License No. 013370 (Missouri).

The current practice location address for New Balance Lake St. Louis is 21 Meadows Circle Dr, Lake St Louis, MO and can be reached out via phone at 636-561-2204 and via fax at 636-625-2611.

Location: 21 Meadows Circle Dr, Lake St Louis, MO, 63367-4109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114165263
Provider Name
New Balance Lake St. Louis
Credential
Provider Entity Type
Organization
Address
21 Meadows Circle Dr, Lake St Louis, MO, 63367-4109
Phone Number
636-561-2204
Fax Number
636-625-2611
Provider Enumeration Date
01/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21 Meadows Circle Dr
City
Lake St Louis
State
Missouri
Zip
63367-4109
Phone Number
636-561-2204
Fax Number
636-625-2611
person
Provider Business Mailing Address Details
Address
21 Meadows Circle Dr
City
Lake St Louis
State
Missouri
Zip
63367-4109
Phone Number
636-561-2204
Fax Number
636-625-2611
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
013370 (Missouri)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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