Lakeside Oxygen Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

LAKESIDE OXYGEN SUPPLY, INC.

Practice address

19818 Mack Ave
Grosse Pointe Woods, MI 48236-2506

Phone

(313) 647-0227

Fax

(313) 647-0228

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Marie Neveux

Title

President

Phone

(313) 303-0135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1871780858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19818 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362506",
            "telephone_number": "313-647-0227",
            "fax_number": "313-647-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19818 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362506",
            "telephone_number": "313-647-0227",
            "fax_number": "313-647-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OXYGEN SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "NEVEUX",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-303-0135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Peter Kypros, M.D.
• Paula Kirk Labadie, PA-C
• Lisa Renee Lagassa, O.D.
• Lakepointe Chiropractic Clinic, PLC
• Lakeshore Osteopathic Center,P.C.
• James M Landers, MD
• Arrick T Lanier
• Daymond Elees Lanton
• Amy Lyn Lawrence, LLMSW
• Christopher Michael Lebel

• Oxygen Equipment & Supplies (DME) in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.