| Organization Name: | LEE HEALTHCARE MEDICAL SUPPLY, LLC |
| NPI Number: | 1801120720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCY LEE (PRESIDENT) |
| Mailing Address: | 907 Ne Big Bend Trl Ste D Glen Rose |
| State: | TX US |
| Postal Code: | 760434913 |
| Phone Number: | 2548971853 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2009 |
| NPI Last Update Date: | 08/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |