Provider Demographics
NPI:1477692754
Name:MONROE MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:MONROE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:LAKOWSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-329-6300
Mailing Address - Street 1:1601 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-2001
Mailing Address - Country:US
Mailing Address - Phone:608-329-6300
Mailing Address - Fax:608-328-4489
Practice Address - Street 1:1601 10TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-2001
Practice Address - Country:US
Practice Address - Phone:608-329-6300
Practice Address - Fax:608-328-4489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41699300Medicaid
WI1184450001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER