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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Liberty Lake
State
Washington
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
Liberty Lake
State
Washington
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
332B00000X
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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