Provider Demographics
NPI:1982620605
Name:THURMAN, LULA BELL (DME SUPPLIER)
Entity Type:Individual
Prefix:MISS
First Name:LULA
Middle Name:BELL
Last Name:THURMAN
Suffix:
Gender:F
Credentials:DME SUPPLIER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 SPORTS HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-6000
Mailing Address - Country:US
Mailing Address - Phone:337-625-1991
Mailing Address - Fax:337-625-1914
Practice Address - Street 1:2631 E NAPOLEON ST
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-3707
Practice Address - Country:US
Practice Address - Phone:337-625-1991
Practice Address - Fax:337-625-1914
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1319060-001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4848820001Medicare ID - Type UnspecifiedPROVIDER #