institution
Lake Country Medical Supplies, Llc
Oxygen Equipment & Supplies (DME) in Atoka, Oklahoma
NPI 1114920816

Lake Country Medical Supplies, Llc is a Oxygen Equipment & Supplies (DME) based in Atoka, OK and is specialized in Oxygen Equipment & Supplies. Lake Country Medical Supplies, Llc practices in Atoka, OK. The NPI Number for Lake Country Medical Supplies, Llc is 1114920816 and holds a License No. (Oklahoma).

The current practice location address for Lake Country Medical Supplies, Llc is 744 S Mississippi Ave, Atoka, OK and can be reached out via phone at 580-889-7878.

Location: 744 S Mississippi Ave, Atoka, OK, 74525-3355
institution
Provider Profile Details
NPI Number
1114920816
Provider Name
Lake Country Medical Supplies, Llc
Credential
Provider Entity Type
Organization
Address
744 S Mississippi Ave, Atoka, OK, 74525-3355
Phone Number
580-889-7878
Fax Number
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100813530A 05 OK
742803495001 01 OK BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
744 S Mississippi Ave
City
State
Zip
74525-3355
Phone Number
580-889-7878
Fax Number
person
Provider Business Mailing Address Details
Address
744 S Mississippi Ave
City
State
Zip
74525-3355
Phone Number
580-889-7878
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
57-S-940 (Oklahoma)
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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