Lakeside Qru, INC

NPI #1205875978 in Lakeside, Montana

Provider Information

NPI Number: 1205875978
Entity Type: Organization
Organization Name: Lakeside Qru, INC
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Jun 6, 2006
Last Updated: May 19, 2020

Practice Location

Address: 201 BILLS RD
City: Lakeside
State: Montana
ZIP Code: 59922
Phone: (406) 844-2775

Authorized Official

Name: JORDAN OWEN
Title: EXECUTIVE DIRECTOR
Phone: (406) 844-2775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X	Primary

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