Provider Demographics
NPI:1427375658
Name:MARGULIES, LYNETTE (DURABLE MEDICAL)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:
Last Name:MARGULIES
Suffix:
Gender:F
Credentials:DURABLE MEDICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CORRY ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-5447
Mailing Address - Country:US
Mailing Address - Phone:608-438-9456
Mailing Address - Fax:
Practice Address - Street 1:30 CORRY ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-5447
Practice Address - Country:US
Practice Address - Phone:608-438-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies