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NPI Code Detail

MEDICARE: LIFELINE MED SUPPLIES LLC

MEDICARE: LIFELINE MED SUPPLIES LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1326877697
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFELINE MED SUPPLIES LLC
Provider Business Mailing Address
First Line : 685 CITADEL DR E STE 110E
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5358
Country : US
Telephone Number : 720-933-6774
Fax Number :
Provider Business Practice Location Address
First Line : 685 CITADEL DR E STE 110E
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5358
Country : US
Telephone Number : 720-933-6774
Fax Number :
Authorized Official
Title or Position : OWNER/ MANAGING DIRECTOR
Name : MR. AZHAR AKHTAR JOSEPH
Credential :
Telephone Number : 720-933-6774
Provider Enumeration Date : 07/26/2024
Last Update Date : 02/03/2026

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Directions to “LIFELINE MED SUPPLIES LLC ” Practice Location

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