| NPI | 1083613269 |
|---|---|
| Doing Business As | LAKE SURGICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | CARMEN MICHAEL TREZZA Owner/President 973-627-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 0063901) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-04-25 |