| Organization Name: | LASALLE HEALTH SERVICE INC |
| NPI Number: | 1417951799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON F LOMBARDI (PRESIDENT) |
| Mailing Address: | 652 E Washington St Ste 2 North Attleboro |
| State: | MA US |
| Postal Code: | 027602488 |
| Phone Number: | 5086992090 |
| Fax Number: | 5096995932 |
| NPI Enumeration Date: | 06/02/2005 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |