Organization Name: | LORD'S MEDICAL SUPPLY |
NPI Number: | 1619084720 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | O. TEMITOPE ANIFOWOSE (OWNER) |
Mailing Address: | 1552 W 139th St Suite E Gardena |
State: | CA US |
Postal Code: | 902492642 |
Phone Number: | 3103240516 |
Fax Number: | 3103240518 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 103477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |