Lake Respiratory Services, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

853 Issued in FL

Legal business name

LAKE RESPIRATORY SERVICES, INC.

Practice address

1321 S Bay St
Eustis, FL 32726-5550

Phone

(365) 589-5777

Fax

(365) 589-4355

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Albert Mair

Title

Owner

Phone

(365) 589-5777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1205802048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265550",
            "telephone_number": "365-589-5777",
            "fax_number": "365-589-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265550",
            "telephone_number": "365-589-5777",
            "fax_number": "365-589-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE RESPIRATORY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "365-589-5777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022293300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Sue Lamb, AU.D.
• Nora Rose Lannigan

• Oxygen Equipment & Supplies (DME) in Eustis, FL
• Providers in Eustis, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.