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NPI Code Detail

MEDICARE: FAMILY RESPIRATORY SERVICES, LLC

MEDICARE: FAMILY RESPIRATORY SERVICES, 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
1332BX2000XOxygen Equipment & Supplies (DME)LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2F2852OTHERLAINSURANCE PROVIDER NUMBER

General Provider Information

NPI Number : 1346222965
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY RESPIRATORY SERVICES, LLC
Provider Business Mailing Address
First Line : 2880 N HIGHWAY 171
Second Line : STE A
City : LAKE CHARLES
State : LA
Zip : 70611-4330
Country : US
Telephone Number : 337-855-0440
Fax Number : 337-855-0446
Provider Business Practice Location Address
First Line : 2880 N HIGHWAY 171
Second Line : STE A
City : LAKE CHARLES
State : LA
Zip : 70611-4330
Country : US
Telephone Number : 337-855-0440
Fax Number : 337-855-0446
Authorized Official
Title or Position : OWNER
Name : MICHELLE G FAWCETT
Credential : RCP
Telephone Number : 337-855-0440
Provider Enumeration Date : 11/18/2005
Last Update Date : 07/07/2008

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Directions to “FAMILY RESPIRATORY SERVICES, LLC ” Practice Location

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