Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavern Thomas, DMEPROVIDER

Individual provider Customized Equipment (DME) · NPI 1609002609

Lavern Thomas, DMEPROVIDER is a Customized Equipment (DME) in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009

Practice location Address checks out

1530 Queen Ave N
Minneapolis, MN 55411
Phone: (612) 701-8544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 72734346 (MN)

Record details

NPI number1609002609
Entity typeIndividual (Type 1)
GenderMale
Credentials DMEPROVIDER
Sole proprietorYes
NPI enumeratedJune 4, 2009
Last updated in NPPESJune 4, 2009

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