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NPI Code Detail

MEDICARE: LASALLE HEALTH SERVICE INC

MEDICARE: LASALLE HEALTH SERVICE 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
1332BX2000XOxygen Equipment & Supplies (DME)MA

General Provider Information

NPI Number : 1417951799
Entity Type Code : Organization
Provider Name (Legal Business Name) : LASALLE HEALTH SERVICE INC
Provider Business Mailing Address
First Line : 652 E WASHINGTON ST
Second Line : STE 2
City : NORTH ATTLEBORO
State : MA
Zip : 02760-2488
Country : US
Telephone Number : 508-699-2090
Fax Number : 509-699-5932
Provider Business Practice Location Address
First Line : 652 E WASHINGTON ST
Second Line : STE 2
City : NORTH ATTLEBORO
State : MA
Zip : 02760-2488
Country : US
Telephone Number : 508-699-2090
Fax Number : 509-699-5932
Authorized Official
Title or Position : PRESIDENT
Name : MR. JON F LOMBARDI
Credential :
Telephone Number : 508-699-2090
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/21/2022

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Directions to “LASALLE HEALTH SERVICE INC ” Practice Location

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