| NPI | 1124043534 |
|---|---|
| Doing Business As | LAKEWAY HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA G PETTY Secretary Treasurer 575-693-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 14) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-07-21 |