| NPI | 1255424990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUTHR LANE President 239-591-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 922490) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-02-21 |