Organization · NPI-2

Lakes Medical Equipment INC.

Durable Medical Equipment & Medical Supplies · Minneapolis, MN

NPI number1376874347
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1376874347
Entity type
Organization (NPI-2)
Legal business name
Lakes Medical Equipment INC.
Organization subpart
No
Enumeration date
Jan 14, 2010
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies–MNYes
302R00000X Health Maintenance Organization––

Other names

  • None (Doing Business As)

Practice location

1808 University Ave Ne Apt 100
Minneapolis, MN 55418-4311

Phone 612-990-3873 · Fax 612-871-1206

Mailing address

1808 University Ave Ne Apt 100
Minneapolis, MN 55418-4311

Phone 612-990-3873 · Fax 612-871-1206

Authorized official

Mohamed Hussein Abdi
Director
6129903873

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