LINCOLN LAKES MEDICAL SUPPLY, LLC (NPI# 1922587427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922587427 |
| Entity Type | Organization |
| Organization Name | LINCOLN LAKES MEDICAL SUPPLY, LLC |
| Practice Address |
150 W Broadway Ste 2 Lincoln ME 04457-4003 |
| Mailing Address |
150 West Broadway Suite 2 Lincoln ME 04457 |
| Practice Telephone | 2074039411 |
| Practice Fax Number | 2074039415 |
| Mailing Telephone | 2077945356 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | MR. CHRISTOPHER HERBERT GULESIAN (MANAGER) |
| Authorized Official Telephone | 2074039411 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
150 W BROADWAY STE 2 |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| 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 |
|---|---|---|---|---|
| 1902422942 | Health Restoration Services, LLC. | Durable Medical Equipment & Medical Supplies | 5708 Elkcrest Dr, Lincoln, NE 68516-1440 | 2020-06-24 |
| 1174145528 | 2pair LLC | Durable Medical Equipment & Medical Supplies | 1101 S 70th St Ste 102, Lincoln, NE 68510-4293 | 2020-05-08 |
| 1093334211 | Ez-life Medical Solutions | Durable Medical Equipment & Medical Supplies | 1101 Arapahoe St Ste 102, Lincoln, NE 68502-4400 | 2020-04-09 |
| 1326606161 | Dbm,llc | Durable Medical Equipment & Medical Supplies | 110 S Canopy St Ste A, Lincoln, NE 68508-3837 | 2019-06-05 |
| 1689231482 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3100 N 14th St Ste P, Lincoln, NE 68521-2134 | 2019-05-28 |
| 1770095440 | Cirrus Medical LLC | Durable Medical Equipment & Medical Supplies | 206 S 13th St Ste 775, Lincoln, NE 68508-2040 | 2017-11-02 |
| 1346781382 | Lincoln Medical Supplies | Durable Medical Equipment & Medical Supplies | 233 S 13th St Ste 1100, Lincoln, NE 68508-2003 | 2017-03-09 |
| 1730546847 | Audrey Ann Xavier | Durable Medical Equipment & Medical Supplies | 711 Sterling Pkwy, #100, Lincoln, CA 95648-7300 | 2016-01-20 |
| 1871966184 | Osie, Inc. | Durable Medical Equipment & Medical Supplies | 1221 N Cotner Blvd Ste 1, Lincoln, NE 68505-1879 | 2015-11-09 |
| 1821468018 | Healthease | Durable Medical Equipment & Medical Supplies | 720 O St, Suite E, Lincoln, NE 68508-1392 | 2015-09-30 |
| Find all providers in LINCOLN | ||||
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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.