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LAKE COUNTRY MEDICAL SUPPLIES OF OKMULGEE, LLC

Medical Equipment Supplier Yellow Pages

Okmulgee, Oklahoma

Provider NPI: 1376546960

Organization Information:
Organization Name:  LAKE COUNTRY MEDICAL SUPPLIES OF OKMULGEE, LLC


Practice Location:
1180 S BELMONT AVE  OKMULGEE, OK 74447 US
Tel: 918-756-9279  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332BD1200XSuppliers
Durable Medical Equipment & Medical Supplies
Dialysis Equipment & Supplies
N332BN1400XSuppliers
Durable Medical Equipment & Medical Supplies
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
N332BX2000XSuppliers
Durable Medical Equipment & Medical Supplies
OK14-S-795
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
OK

Other Provider Identifiers:

IssuerNumberStateType
100812630AOK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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