Provider Demographics
NPI:1629051461
Name:LAWS MEDICAL DISTRIBUTORS INC
Entity Type:Organization
Organization Name:LAWS MEDICAL DISTRIBUTORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VIP SALES MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BENEDICTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-718-2473
Mailing Address - Street 1:20832 ROSCOE BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-2057
Mailing Address - Country:US
Mailing Address - Phone:818-718-2473
Mailing Address - Fax:818-718-2591
Practice Address - Street 1:20832 ROSCOE BLVD
Practice Address - Street 2:STE 108
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-2057
Practice Address - Country:US
Practice Address - Phone:818-718-2473
Practice Address - Fax:818-718-2591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03246FMedicaid
CADME03246FMedicaid