institution
Lodi Sick Room Supply Inc
Customized Equipment (DME) in Lodi, California
NPI 1417978065

Lodi Sick Room Supply Inc is a Customized Equipment (DME) based in Lodi, CA and is specialized in Customized Equipment. Lodi Sick Room Supply Inc practices in Lodi, CA. The NPI Number for Lodi Sick Room Supply Inc is 1417978065 and holds a License No. ZZZ49755Z (California).

The current practice location address for Lodi Sick Room Supply Inc is 340 S Fairmont Ave, Lodi, CA and can be reached out via phone at 209-369-3641 and via fax at 209-369-4618.

Location: 340 S Fairmont Ave, Lodi, CA, 95240-3802
institution
Provider Profile Details
NPI Number
1417978065
Provider Name
Lodi Sick Room Supply Inc
Credential
Provider Entity Type
Organization
Address
340 S Fairmont Ave, Lodi, CA, 95240-3802
Phone Number
209-369-3641
Fax Number
209-369-4618
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ49755Z 05 CA
institution
Provider Business Practice Location Address Details
Address
340 S Fairmont Ave
City
State
Zip
95240-3802
Phone Number
209-369-3641
Fax Number
209-369-4618
person
Provider Business Mailing Address Details
Address
340 S Fairmont Ave
City
State
Zip
95240-3802
Phone Number
209-369-3641
Fax Number
209-369-4618
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
ZZZ49755Z (California)
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
Customized Equipment
Taxonomy
License No.
ZZZ49755Z (California)
Definition
Definition to come...
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