MEDICARE: SHEILA LANHAM ENTERPRISES, 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	:	1235243312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEILA LANHAM ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	26071 MERIT CIR
Second Line	:	SUITE 113
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-7016
Country	:	US
Telephone Number	:	800-934-1737
Fax Number	:	949-215-9442

Provider Business Practice Location Address
First Line	:	26071 MERIT CIR
Second Line	:	SUITE 113
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-7016
Country	:	US
Telephone Number	:	800-934-1737
Fax Number	:	949-215-9442

Authorized Official
Title or Position	:	PRES/CEO
Name	:	SHEILA LANHAM
Credential	:
Telephone Number	:	800-934-1737

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	08/22/2020

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