Organization · NPI-2

Lilburn Medical Supply LLC

Durable Medical Equipment & Medical Supplies · Lilburn, GA

NPI number1194629378
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1194629378
Entity type
Organization (NPI-2)
Legal business name
Lilburn Medical Supply LLC
Organization subpart
No
Enumeration date
Oct 2, 2026
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

4765 Stone Mountain Hwy Ste E
Lilburn, GA 30047-4691

Phone 470-265-1333

Mailing address

4765 Stone Mountain Hwy Ste E
Lilburn, GA 30047-4691

Phone 470-265-1333

Authorized official

Dolores E Alvarado
Managing Director
4702651333

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Durable Medical Equipment & Medical Supplies providers in Lilburn, GA