Lake Erie Medical & Surgical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE ERIE MEDICAL & SURGICAL SUPPLY, INC

Practice address

7560 Lewis Ave
Temperance, MI 48182-9539

Phone

(734) 847-3847

Fax

(419) 724-1052

NPI assigned

Jul 27, 2011

Last updated

Jul 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannie Marie Sieren

Title

Treasurer

Phone

(734) 847-2710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1205114014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829539",
            "telephone_number": "734-847-3847",
            "fax_number": "419-724-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829539",
            "telephone_number": "734-847-3847",
            "fax_number": "419-724-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ERIE MEDICAL & SURGICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "SIEREN",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "734-847-2710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Koehl, M.D.
• Candace Kovar
• Jessica Nicole Krueger, CTRS
• Daryl Lee Lajiness, D.C.
• Reyna Linette Lajiness, D.C.
• Joseph A. Lascala, DC
• Melissa Ann Lemay, RN
• Penelope Lynne Lemay, LPN
• Levan Chiropractic
• Liberty Compounding Pharmacy, LLC

• Durable Medical Equipment & Medical Supplies in Temperance, MI
• Providers in Temperance, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.