| Organization Name: | LINCARE PULMONARY REHAB SERVICES OF MISSOURI, LLC |
| NPI Number: | 1174867766 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN NANNIE (AUTHORIZED OFFICIAL) |
| Mailing Address: | 10994 Historic Highway 165 Ste C Hollister |
| State: | MO US |
| Postal Code: | 656726234 |
| Phone Number: | 4173341532 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2012 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |