| NPI | 1033140082 |
|---|---|
| Doing Business As | LILLY'S MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | GEVORK PETIKYAN Owner 702-836-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-11-06 |