Organization Name: | LODI SICK ROOM SUPPLY INC |
NPI Number: | 1417978065 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY CANEPA (PRESIDENT) |
Mailing Address: | 340 S Fairmont Ave Lodi |
State: | CA US |
Postal Code: | 952403802 |
Phone Number: | 2093693641 |
Fax Number: | 2093694618 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | ZZZ49755Z |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
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 |