Provider Demographics
NPI:1528301025
Name:LANX SALES LLC
Entity type:Organization
Organization Name:LANX SALES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:FESMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-443-7500
Mailing Address - Street 1:310 INTERLOCKEN PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3479
Mailing Address - Country:US
Mailing Address - Phone:303-443-7500
Mailing Address - Fax:
Practice Address - Street 1:310 INTERLOCKEN PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3479
Practice Address - Country:US
Practice Address - Phone:303-443-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANX, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies