person
Lavern Thomas, DMEPROVIDER
Customized Equipment (DME) in Minneapolis, Minnesota
NPI 1609002609

Lavern Thomas is a Customized Equipment (DME) based in Minneapolis, MN and is specialized in Customized Equipment. Lavern Thomas practices in Minneapolis, MN and has the professional credentials of DMEPROVIDER. The NPI Number for Lavern Thomas is 1609002609 and holds a License No. 72734346 (Minnesota).

The current practice location address for Lavern Thomas is 1530 Queen Ave N, Minneapolis, MN and can be reached out via phone at 612-701-8544. You can also correspond with Lavern Thomas through the mailing address at 1530 QUEEN AVE N, MINNEAPOLIS, MN - 55411 (mailing address contact number: 612-701-8544).

Location: 1530 Queen Ave N, Minneapolis, MN, 55411
person
Provider Profile Details
NPI Number
1609002609
Provider Name
Lavern Thomas
Credential
DMEPROVIDER
Provider Entity Type
Individual
Gender
Male
Address
1530 Queen Ave N, Minneapolis, MN, 55411
Phone Number
612-701-8544
Fax Number
Provider Enumeration Date
06/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1530 Queen Ave N
City
State
Zip
55411
Phone Number
612-701-8544
Fax Number
person
Provider Business Mailing Address Details
Address
1530 Queen Ave N
City
State
Zip
55411
Phone Number
612-701-8544
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
72734346 (Minnesota)
Definition
Definition to come...
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