Organization Name: | LIFETIME MOBILITY PRODUCTS |
NPI Number: | 1851626238 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL FERDINAND BAUER (OWNER/PRESIDENT) |
Mailing Address: | W7652 2090th Ave Hager City |
State: | WI US |
Postal Code: | 54014 |
Phone Number: | 6126360751 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2009 |
NPI Last Update Date: | 10/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |