Provider Demographics
NPI:1750634010
Name:LEE MEDICAL INC
Entity Type:Organization
Organization Name:LEE MEDICAL INC
Other - Org Name:LMI HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-864-6630
Mailing Address - Street 1:710 11TH ST E
Mailing Address - Street 2:UNIT B
Mailing Address - City:GLENCOE
Mailing Address - State:MN
Mailing Address - Zip Code:55336-2221
Mailing Address - Country:US
Mailing Address - Phone:320-864-6630
Mailing Address - Fax:320-864-6845
Practice Address - Street 1:1303 1ST ST S
Practice Address - Street 2:UNIT 1B
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3492
Practice Address - Country:US
Practice Address - Phone:320-864-6630
Practice Address - Fax:320-864-6845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies