LAVERN THOMAS

MINNEAPOLIS, MN
NPI1609002609
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: MN  72734346)
Enumeration Date2009-06-04
Last Update Date2009-06-04
Business Address
-- LAVERN THOMAS DME provider
1530 QUEEN AVE N
MINNEAPOLIS, MN 55411
Phone number: 612-701-8544
Mailing Address
-- LAVERN THOMAS DME provider
1530 QUEEN AVE N
MINNEAPOLIS, MN 55411
Phone number: 612-701-8544
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