| Organization Name: | LAKE RESPIRATORY SERVICES, INC. |
| NPI Number: | 1205802048 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERT MAIR (OWNER) |
| Mailing Address: | 1321 S Bay St Eustis |
| State: | FL US |
| Postal Code: | 327265550 |
| Phone Number: | 3655895777 |
| Fax Number: | 3655894355 |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 07/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |