Provider Demographics
NPI:1265838437
Name:LANCASTER MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:LANCASTER MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKIE
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-298-3626
Mailing Address - Street 1:395 CROSSWINDS DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7815
Mailing Address - Country:US
Mailing Address - Phone:717-298-3626
Mailing Address - Fax:
Practice Address - Street 1:395 CROSSWINDS DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7815
Practice Address - Country:US
Practice Address - Phone:717-298-3626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies