Lakeside Mobility & Scooter LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKESIDE MOBILITY & SCOOTER LLC

Practice address

129 Milton Rd
Rochester, NH 03868-8770

Phone

(603) 332-9555

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Hamann

Title

Partner

Phone

(603) 332-9555

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1053474817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MILTON RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038688770",
            "telephone_number": "603-332-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MILTON RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038688770",
            "telephone_number": "603-332-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MOBILITY & SCOOTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "HAMANN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-332-9555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30597257",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30763043",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puneet Kochhar, D.M.D.
• Alyssa Koelker, APRN
• Rebecca Korbal, PHARMD
• Kierra Jean Krzcuik
• Laboratory Corporation of America Holdings
• Karin M Lamar, DMD
• Thomas Lambert, PTA
• Brandy Lampron, PA-C
• Marlane Kay Landau, LMT
• Michael Lane, MD

• Durable Medical Equipment & Medical Supplies in Rochester, NH
• Providers in Rochester, NH by specialty
• Durable Medical Equipment & Medical Supplies in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.