Healthcare Provider Details

I. General information

NPI: 1023939055
Provider Name (Legal Business Name): LAKAY FRESH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MARKET ST STE 1D
LYNN MA
01901-1044
US

IV. Provider business mailing address

1 MARKET ST STE 1D
LYNN MA
01901-1044
US

V. Phone/Fax

Practice location:
  • Phone: 857-236-4931
  • Fax:
Mailing address:
  • Phone: 857-236-4931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: REGINE ROMELUS
Title or Position: OWNER
Credential: RRT
Phone: 857-236-4931