Lakeside Medical Suppliers, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKESIDE MEDICAL SUPPLIERS, LLC

Practice address

1884 Birchwood Dr
Okemos, MI 48864-2764

Phone

(517) 253-0098

Fax

(517) 253-0998

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Brian P CzubakNPI 1801298005

Title

Owner

Phone

(517) 253-0098

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Paul Czubak

  • Durable Medical Equipment & Medical Supplies
  • Okemos, MI
  • NPI 1801298005
  NPD (past) Authorized official

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1851794598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 BIRCHWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642764",
            "telephone_number": "517-253-0098",
            "fax_number": "517-253-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 BIRCHWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642764",
            "telephone_number": "517-253-0098",
            "fax_number": "517-253-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MEDICAL SUPPLIERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "CZUBAK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-253-0098",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Labrecque
• Brianna Lafever
• Natalie Lahote
• Alan Ray Laing, D.D.S.
• Jessica Marie Laird, FNP
• Cathleen M Lalonde, PH.D.
• Lan Lam, LMT
• Lauren Lambert
• Hilary Langin
• Juliette Langlinais

• Durable Medical Equipment & Medical Supplies in Okemos, MI
• Providers in Okemos, 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 Oct 8, 2014; 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.