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LAKELINE MEDICAL SUPPLY
NPI 1043482540
Durable Medical Equipment & Medical Supplies in Cedar Park, TX

Active since March 25, 2008
1525 CYPRESS CREEK RD STE H, CEDAR PARK, TX 78613(512) 633-5669(512) 401-2145 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeline Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELINE MEDICAL SUPPLY (NPI 1043482540) is a healthcare organization registered as a durable medical equipment & medical supplies in Cedar Park, Texas and active in the NPI registry since March 2008. The organization lists Tyson Jon Krugman, Owner, as its authorized official.

NPPES Registry Identity

NPI1043482540
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKELINE MEDICAL SUPPLY
Location Address1525 CYPRESS CREEK RD STE HCedar Park, TX 78613-3604
Mailing Address1525 Cypress Creek Rd Ste HCedar Park, TX 78613-3604 · (512) 633-5669 · Fax (512) 401-2145
Phone(512) 633-5669
Fax(512) 401-2145
Organization SubpartNo
Authorized OfficialTyson Jon KrugmanOwner · (512) 633-5669
Enumeration DateMarch 25, 2008
✔ NPI 1043482540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in TX · 0103078
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1525 CYPRESS CREEK RD STE H, Cedar Park, TX 78613
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeline Medical Supply's NPI number?

The NPI number for Lakeline Medical Supply is 1043482540. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Lakeline Medical Supply located?

Lakeline Medical Supply is located at 1525 Cypress Creek Rd Ste H, Cedar Park, TX 78613. The listed phone number is (512) 633-5669.

What is Lakeline Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Lakeline Medical Supply was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.