Provider Demographics
NPI:1841036308
Name:LION MED DME LLC
Entity type:Organization
Organization Name:LION MED DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:832-535-4557
Mailing Address - Street 1:744 S BIBB AVE UNIT REAR
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6344
Mailing Address - Country:US
Mailing Address - Phone:832-535-4557
Mailing Address - Fax:830-213-8265
Practice Address - Street 1:744 S BIBB AVE UNIT REAR
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6344
Practice Address - Country:US
Practice Address - Phone:832-535-4557
Practice Address - Fax:830-213-8265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LION MED DME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies