OrganizationActive
Lakeline Medical Supply
NPI 1043482540 · Durable Medical Equipment & Medical Supplies · Cedar Park, TX
Provider details
- NPI number
- 1043482540
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Tyson Krugman, Owner(512) 633-5669
- License
- 0103078 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1525 Cypress Creek Rd Ste H
Cedar Park, TX 78613-3604
Phone: (512) 633-5669
Fax: (512) 401-2145
Street-level locationGet directions
Mailing address
1525 Cypress Creek Rd Ste H
Cedar Park, TX 78613-3604
Registry dates
- Enumerated
- 2008-03-25
- Last updated
- 2008-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.