Lake Region Furniture Co. Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE REGION FURNITURE CO. INC.

Practice address

673 Main St
Gorham, ME 04038-2624

Phone

(207) 856-6711

Fax

(207) 856-1315

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Tamara Knight

Title

Office Manager

Phone

(207) 856-6711

Specialties & licenses 1

Addresses

Other names 1

• Crockett Furniture Doing business as

Locations

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1396046470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382624",
            "telephone_number": "207-856-6711",
            "fax_number": "207-856-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382624",
            "telephone_number": "207-856-6711",
            "fax_number": "207-856-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION FURNITURE CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-856-6711"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crockett Furniture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoe Kiklis Christensen, DDS
• Kerry Kimball, E.D.D
• Kirsten Benson
• Mary Kroth-Brunet, PT
• Holly A Lagarde, LMT
• Abigail Laplante
• Catherine Cushman Larochelle
• Kristine D. Lassiter, LCSW
• Robert Lawrence Lavoie, D.C.
• Stanley S Lee

• Durable Medical Equipment & Medical Supplies in Gorham, ME
• Providers in Gorham, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.