Organization Name: | LONE TREE HEALTHCARE, L.L.C. |
NPI Number: | 1245386895 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMMY M. PETERS (MANGER OWNER) |
Mailing Address: | 649 Burgundy St Unit B Highlands Ranch |
State: | CO US |
Postal Code: | 801292552 |
Phone Number: | 3033465750 |
Fax Number: | 3033465796 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 24-54173-0000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |