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Lisa G. Maynard
Oxygen Equipment & Supplies (DME) in Covington, Virginia
NPI 1790950251

Lisa G. Maynard is a Oxygen Equipment & Supplies (DME) based in Covington, VA and is specialized in Oxygen Equipment & Supplies. Lisa G. Maynard practices in Covington, VA. The NPI Number for Lisa G. Maynard is 1790950251 and holds a License No. 0206009194 (Virginia).

The current practice location address for Lisa G. Maynard is 376 W Main St, Covington, VA and can be reached out via phone at 540-962-4433 and via fax at 540-962-4434.

Location: 376 W Main St, Covington, VA, 24426-1517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790950251
Provider Name
Lisa G. Maynard
Credential
Provider Entity Type
Individual
Gender
Female
Address
376 W Main St, Covington, VA, 24426-1517
Phone Number
540-962-4433
Fax Number
540-962-4434
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009106049 05 VA
institution
Provider Business Practice Location Address Details
Address
376 W Main St
City
Covington
State
Virginia
Zip
24426-1517
Phone Number
540-962-4433
Fax Number
540-962-4434
person
Provider Business Mailing Address Details
Address
376 W Main St
City
Covington
State
Virginia
Zip
24426-1517
Phone Number
540-962-4433
Fax Number
540-962-4434
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
0206009194 (Virginia)
Definition
Definition to come...
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