institution
Liberty Lake Medical Supply
Durable Medical Equipment & Medical Supplies in Liberty Lake, Washington
NPI 1164763405

Liberty Lake Medical Supply is a Durable Medical Equipment & Medical Supplies based in Liberty Lake, WA. Liberty Lake Medical Supply practices in Liberty Lake, WA. The NPI Number for Liberty Lake Medical Supply is 1164763405 and holds a License No. 602016543 (Washington).

The current practice location address for Liberty Lake Medical Supply is 22910 E Appleway Ave Ste 3, Liberty Lake, WA and can be reached out via phone at 509-891-2856 and via fax at 509-891-0125.

Location: 22910 E Appleway Ave Ste 3, Liberty Lake, WA, 99019-8606
institution
Provider Profile Details
NPI Number
1164763405
Provider Name
Liberty Lake Medical Supply
Credential
Provider Entity Type
Organization
Address
22910 E Appleway Ave Ste 3, Liberty Lake, WA, 99019-8606
Phone Number
509-891-2856
Fax Number
509-891-0125
Provider Enumeration Date
03/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952522823 05 WA
institution
Provider Business Practice Location Address Details
Address
22910 E Appleway Ave Ste 3
City
State
Zip
99019-8606
Phone Number
509-891-2856
Fax Number
509-891-0125
person
Provider Business Mailing Address Details
Address
22910 E Appleway Ave Ste 3
City
State
Zip
99019-8606
Phone Number
509-891-2856
Fax Number
509-891-0125
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
602016543 (Washington)
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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