Organization · Type 2 NPI

Liberty Lake Medical Supply

Durable Medical Equipment & Medical Supplies · Liberty Lake, WA

NPI number 1164763405 Active

Practice location

22910 E Appleway Ave Ste 3
Liberty Lake, WA 99019-8606

Fax (509) 891-0125

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X602016543 (WA)

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.

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About NPI 1164763405

Liberty Lake Medical Supply's National Provider Identifier is 1164763405, issued on Mar 12, 2013. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Liberty Lake, WA. The record was last updated on Mar 12, 2013.