Organization · Type 2 NPI

Lake City Shoe Repair

Durable Medical Equipment & Medical Supplies · Coeur D Alene, ID

NPI number 1346629029 Active

Practice location

3115 N Government Way, #7
Coeur D Alene, ID 83815-3790

Fax (208) 762-0791

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNOT REQUIRED (ID)

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.

3 other providers at this address

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About NPI 1346629029

Lake City Shoe Repair's National Provider Identifier is 1346629029, issued on May 27, 2015. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Nov 12, 2015.