Organization · Type 2 NPI
New Balance Lake St. Louis
Durable Medical Equipment & Medical Supplies · Lake St. Louis, MO
NPI number
1114165263
Active
Practice location
21 Meadows Circle Dr, Suite 314
Lake St. Louis, MO 63367-4109
Fax (636) 625-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 013370 (MO) |
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.
Other durable medical equipment & medical supplies providers in Lake St. Louis
About NPI 1114165263
New Balance Lake St. Louis's National Provider Identifier is 1114165263, issued on Jan 28, 2009. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jan 28, 2009.