Patricia Rose Clampett
Durable Medical Equipment & Medical Supplies in Thomaston, CT. Individual provider (NPI-1).
NPI number1386790426
StatusActive
Last updated in NPPESFeb 12, 2010
Details
- NPI
- 1386790426
- Entity type
- Individual (NPI-1)
- Name
- Patricia Rose Clampett
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2007
- Last updated
- Feb 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 171W00000X | Contractor | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | – | – |
Other names
- Lighthouse Medical Equipment LLC (Other Name)
Practice location
120 S Main StThomaston, CT 06787-1746
Phone 860-283-6248 · Fax 860-283-6247
Mailing address
120 S Main StThomaston, CT 06787-1746
Phone 860-283-6248 · Fax 860-283-6247
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