MEDICARE: LEE'S DME, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1770518060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEE'S DME, INC

Provider Business Mailing Address
First Line	:	6931 S 66TH EAST AVE
Second Line	:	STE 110
City	:	TULSA
State	:	OK
Zip	:	74133-1754
Country	:	US
Telephone Number	:	918-764-9295
Fax Number	:

Provider Business Practice Location Address
First Line	:	6931 S 66TH EAST AVE
Second Line	:	STE 110
City	:	TULSA
State	:	OK
Zip	:	74133-1754
Country	:	US
Telephone Number	:	918-764-9295
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS MELISSA L POWELL
Credential	:
Telephone Number	:	918-764-9295

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/22/2020

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