Lakeshore Ems

NPI #1154606101 in Merrillville, Indiana

Provider Information

NPI Number
1154606101
Entity Type
Organization
Organization Name
Lakeshore Ems
Primary Specialty
Ambulance
Enumeration Date
Oct 20, 2011
Last Updated
May 5, 2016

Practice Location

Address
3480 E 83RD PL
State
Indiana
ZIP Code
46410-6547
Phone
(219) 663-2896

Authorized Official

Name
MR. MARK R MONTOYA
Title
OWNER
Phone
(219) 945-3607

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport
Non-emergency Medical Transport (VAN)
Ambulance

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