Individual provider · Type 1 NPI
Lavern Thomas, DME PROVIDER
Customized Equipment (DME) · Minneapolis, MN
NPI number
1609002609
Active
Practice location
1530 Queen Ave N
Minneapolis, MN 55411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 72734346 (MN) |
Customized Equipment (DME): Definition to come...
About NPI 1609002609
Lavern Thomas, DME PROVIDER's National Provider Identifier is 1609002609, issued on Jun 4, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 4, 2009.