Organization · Type 2 NPI

Lodi Sick Room Supply Inc

Customized Equipment (DME) · Lodi, CA

NPI number 1417978065 Active

Practice location

340 S Fairmont Ave
Lodi, CA 95240-3802

Fax (209) 369-4618

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XZZZ49755Z (CA)
Customized Equipment (DME) Primary 332BC3200XZZZ49755Z (CA)

Customized Equipment (DME): Definition to come...

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About NPI 1417978065

Lodi Sick Room Supply Inc's National Provider Identifier is 1417978065, issued on Jul 21, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Lodi, CA. The record was last updated on Sep 11, 2025.