Provider Demographics
NPI:1376185421
Name:LEAN DME LLC
Entity Type:Organization
Organization Name:LEAN DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORESGARDUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-434-2446
Mailing Address - Street 1:1623 JET WING DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-2258
Mailing Address - Country:US
Mailing Address - Phone:719-434-2446
Mailing Address - Fax:719-465-3207
Practice Address - Street 1:1623 JET WING DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-2258
Practice Address - Country:US
Practice Address - Phone:719-434-2446
Practice Address - Fax:719-465-3207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies