institution
Lake Country Medical Supplies Of Okmulgee, Llc
Oxygen Equipment & Supplies (DME) in Okmulgee, Oklahoma
NPI 1376546960

Lake Country Medical Supplies Of Okmulgee, Llc is a Oxygen Equipment & Supplies (DME) based in Atoka, OK and is specialized in Oxygen Equipment & Supplies. Lake Country Medical Supplies Of Okmulgee, Llc practices in Okmulgee, OK. The NPI Number for Lake Country Medical Supplies Of Okmulgee, Llc is 1376546960 and holds a License No. (Oklahoma).

The current practice location address for Lake Country Medical Supplies Of Okmulgee, Llc is 1180 S Belmont Ave, Okmulgee, OK and can be reached out via phone at 918-756-9279 and via fax at 918-756-2656.

Location: 1180 S Belmont Ave, Okmulgee, OK, 74525-3324
institution
Provider Profile Details
NPI Number
1376546960
Provider Name
Lake Country Medical Supplies Of Okmulgee, Llc
Credential
Provider Entity Type
Organization
Address
1180 S Belmont Ave, Okmulgee, OK, 74525-3324
Phone Number
918-756-9279
Fax Number
918-756-2656
Provider Enumeration Date
05/27/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100812630A 05 OK
institution
Provider Business Practice Location Address Details
Address
1180 S Belmont Ave
City
State
Zip
74447-6308
Phone Number
918-756-9279
Fax Number
918-756-2656
person
Provider Business Mailing Address Details
Address
1180 S Belmont Ave
City
State
Zip
74447-6308
Phone Number
918-756-9279
Fax Number
918-756-2656
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
14-S-795 (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...
semi-verified symbol
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