MEDICARE: L&P HEALTH SUPPLIES, 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	:	1912478603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L&P HEALTH SUPPLIES, LLC

Provider Business Mailing Address
First Line	:	16600 ALABAMA HIGHWAY 17
Second Line	:
City	:	YORK
State	:	AL
Zip	:	36925-9519
Country	:	US
Telephone Number	:	772-530-5530
Fax Number	:

Provider Business Practice Location Address
First Line	:	16600 ALABAMA HIGHWAY 17
Second Line	:
City	:	YORK
State	:	AL
Zip	:	36925-9519
Country	:	US
Telephone Number	:	772-530-5530
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIE GIBBS
Credential	:
Telephone Number	:	877-616-9794

Provider Enumeration Date	:	12/06/2018
Last Update Date	:	11/14/2022

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