| Organization Name: | COPPER SUN ENTERPRISES, INC |
| NPI Number: | 1255314225 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY PAUL LAZARIN (CEO) |
| Mailing Address: | 157 W Cedar St Globe |
| State: | AZ US |
| Postal Code: | 855012509 |
| Phone Number: | 9284258540 |
| Fax Number: | 8666792291 |
| NPI Enumeration Date: | 11/23/2005 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 11022216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |