Provider Demographics
NPI:1245408004
Name:LENOX MEDICAL SUPPLY SERVICES
Entity Type:Organization
Organization Name:LENOX MEDICAL SUPPLY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CO-WONER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIJIOKE
Authorized Official - Middle Name:UCHENNA
Authorized Official - Last Name:IBETOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-261-3567
Mailing Address - Street 1:1250 CONNECTICUT AVE NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-2643
Mailing Address - Country:US
Mailing Address - Phone:202-261-3567
Mailing Address - Fax:
Practice Address - Street 1:3696 OLD SILVER HILL RD
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-3124
Practice Address - Country:US
Practice Address - Phone:301-899-2315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5584140001Medicare NSC