Lakeside Ems LLC

NPI #1093211823 in Effingham, Illinois

Provider Information

NPI Number
1093211823
Entity Type
Organization
Organization Name
Lakeside Ems LLC
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Apr 2, 2018
Last Updated
Aug 9, 2021

Practice Location

Address
815 S MAPLE ST
ZIP Code
62401-2641
Phone
(217) 994-2046

Authorized Official

Name
JERROD ESTES
Title
CEO/PARAMEDIC
Phone
(217) 994-2046

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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