MEDICARE: L&T MEDICAL SUPPLY

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	H13002342112206	NV
2	332BX2000X	Oxygen Equipment & Supplies (DME)	H13-00234-2-112206	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1679585582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L&T MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	6704 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4588
Country	:	US
Telephone Number	:	702-658-8028
Fax Number	:	702-656-7394

Provider Business Practice Location Address
First Line	:	6704 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4588
Country	:	US
Telephone Number	:	702-658-8028
Fax Number	:	702-656-7394

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FLORENCE OMOWUNMI ALAGA
Credential	:
Telephone Number	:	702-658-8028

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	09/23/2009

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Directions to “L&T MEDICAL SUPPLY ” Practice Location

Language	Start Address	Practice Location

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