Provider Demographics
NPI:1992484158
Name:ALL LYMPHEDEMA LLC
Entity type:Organization
Organization Name:ALL LYMPHEDEMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:610-888-8634
Mailing Address - Street 1:228 SEA CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-1286
Mailing Address - Country:US
Mailing Address - Phone:610-888-8634
Mailing Address - Fax:
Practice Address - Street 1:228 SEA CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-1286
Practice Address - Country:US
Practice Address - Phone:610-888-8634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies