Laurel Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R2549 Issued in MD

Legal business name

LAUREL MEDICAL SUPPLIES, INC.

Doing business as

Frederick Medical Supplies

Practice address

179B Thomas Johnson Drive
Frederick, MD 21702-4871

Phone

(301) 378-2266

Fax

(301) 378-2204

NPI assigned

Apr 14, 2008

Organization subpart

Yes

Parent organization

LAUREL MEDICAL SUPPLIES, INC.As reported in NPPES

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

Authorized official

Name

Mr. John J Letizia, ATP

Title

President

Phone

(814) 472-5591

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Frederick Medical Supplies Doing business as

Part of

Laurel Medical Supplies

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1073787834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179B THOMAS JOHNSON DRIVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024871",
            "telephone_number": "301-378-2266",
            "fax_number": "301-378-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179B THOMAS JOHNSON DRIVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024871",
            "telephone_number": "301-378-2266",
            "fax_number": "301-378-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL MEDICAL SUPPLIES, INC.",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "LETIZIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-472-5591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R2549",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412780300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Nicole Latterner, COTA/L
• Lara Lattman, CNS, LDN
• Jacquie Laughlin, PA
• Katelyn Laughman
• Laura a Michie CCC SLP (Frederick SLP and OT)
• Catherine Theresa Lauritzen, C.R.N.P.
• Gregory Lavanier, M.D.
• Paul Law, MD
• Kevin Richard Lawlor
• Cynthia Lawrence

• Durable Medical Equipment & Medical Supplies in Frederick, MD
• Providers in Frederick, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.