LAN MEDICAL (NPI# 1790329183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790329183 |
| Entity Type | Organization |
| Organization Name | LAN MEDICAL |
| Practice Address |
12057 W Indian Lake Dr Vicksburg MI 49097-9338 |
| Mailing Address |
Po Box 562 Portage MI 49081-0562 |
| Practice Telephone | 2695988330 |
| Mailing Telephone | 2693504612 |
| Mailing Fax Number | 2693972208 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | MRS. NICOLE FOSTER (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 2693504612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Lan Medical Consulting, PC | 137 Main St Unit C-101, Edwards, CO 81632 |
| Street Address |
12057 W INDIAN LAKE DR |
| City | VICKSBURG |
| State | MI |
| Zip Code | 49097-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132168 | Jo Lynne Kirchhoff | Pharmacist | 110 S. Main Streets, Vicksburg, MI 49097 | 2009-05-18 |
| 1558429605 | Ellen Marie Tavarone | Dentist | 602 West Prairie St, Vicksburg, MI 49097 | 2006-12-04 |
| 1598875601 | Robert L Dornbos Dds PC | Dentist | 102 S Main, Vicksburg, MI 49097 | 2006-08-30 |
| 1982680468 | Freds Super Pharmacy Inc | Pharmacy | 121 W Prairie St, Vicksburg, MI 49097 | 2005-12-16 |
| 1477853422 | South County Home Health Providers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N 3rd St, Vicksburg, MI 49097-1017 | 2010-10-25 |
| 1023214921 | Aaron C Ford | Dentist | 602 W Prairie St, Vicksburg, MI 49097-1178 | 2007-06-26 |
| 1154573392 | Family & Children Services, Inc. | Clinic/Center | 101 S Main St, Vicksburg, MI 49097-1210 | 2008-10-21 |
| 1144756610 | Pamela Hendershot | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2017-05-03 |
| 1598990525 | Kelly Ann Soekarmoen | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2009-05-19 |
| 1184670085 | Hill's Pharmacy of Vicksburg, Inc. | Pharmacy | 110 S Main St, Vicksburg, MI 49097-1211 | 2006-05-25 |
| Find all providers in zip 49097 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740682210 | Mississippi Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1435 N. Frontage Rd, Vicksburg, MS 39180-5170 | 2014-09-16 |
| 1316261845 | Magnolia Mobility | Durable Medical Equipment & Medical Supplies | 3109 Washington St, Vicksburg, MS 39180-4968 | 2010-03-26 |
| 1194994434 | Patrick Emeka Igbokwe | Durable Medical Equipment & Medical Supplies | 4798 Highway 61 S, Suite B, Vicksburg, MS 39180-7125 | 2008-02-20 |
| 1487725313 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 2480 S Frontage Rd, Ste F, Vicksburg, MS 39180-5251 | 2006-11-13 |
| 1255437844 | Hometown Medical LLC | Durable Medical Equipment & Medical Supplies | 814 Belmont Street, Vicksburg, MS 39180 | 2006-09-15 |
| 1477662864 | Harco Inc | Durable Medical Equipment & Medical Supplies | 2310 Clay Street, Vicksburg, MS 39183-3123 | 2006-08-29 |
| 1013026400 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 3046 Indiana Avenue, Vicksburg, MS 39180-5252 | 2006-08-29 |
| 1275548430 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3341 Halls Ferry Rd, Vicksburg, MS 39180-5338 | 2006-07-29 |
| 1982621389 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2150 Iowa Blvd, Vicksburg, MS 39180-5572 | 2006-07-16 |
| 1093749871 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3405 Pemberton Square Blvd, Vicksburg, MS 39180-5574 | 2006-07-10 |
| Find all providers in VICKSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.