MEDICARE: SNORE & SLEEP, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1881922219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNORE & SLEEP, LLC

Provider Business Mailing Address
First Line	:	PO BOX 699
Second Line	:
City	:	MADISONVILLE
State	:	LA
Zip	:	70447-0699
Country	:	US
Telephone Number	:	985-875-7557
Fax Number	:	985-875-0595

Provider Business Practice Location Address
First Line	:	715 N LEWIS ST
Second Line	:	STE B
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-2045
Country	:	US
Telephone Number	:	337-608-0028
Fax Number	:	985-327-0650

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. THOMAS E LAVIN
Credential	:	MD
Telephone Number	:	985-875-7557

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	11/23/2009

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Directions to “SNORE & SLEEP, LLC ” Practice Location

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