MEDICARE: L&M MEDICAL EQUIPMENT, 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	037205	WV

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	:	1710922042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L&M MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	PO BOX 31
Second Line	:
City	:	MARSHES SIDING
State	:	KY
Zip	:	42631-0031
Country	:	US
Telephone Number	:	606-376-7541
Fax Number	:

Provider Business Practice Location Address
First Line	:	379 GLENVIEW RD
Second Line	:
City	:	CRAB ORCHARD
State	:	WV
Zip	:	25827
Country	:	US
Telephone Number	:	304-253-7962
Fax Number	:	304-252-1630

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	JERRY L PENNINGTON
Credential	:
Telephone Number	:	606-376-7541

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	09/23/2009

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Directions to “L&M MEDICAL EQUIPMENT, INC ” Practice Location

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