Lake County Ambulance Service

NPI #1457346223 in Two Harbors, Minnesota

Provider Information

NPI Number: 1457346223
Entity Type: Organization
Organization Name: Lake County Ambulance Service
Primary Specialty: Ambulance
Enumeration Date: Sep 16, 2005
Last Updated: Oct 24, 2013

Practice Location

Address: 421 20TH AVE
City: Two Harbors
State: Minnesota
ZIP Code: 55616
Phone: (218) 834-7110

Authorized Official

Name: MS. DANIELLE DENEUI
Title: DIRECTOR/CEO
Phone: (218) 834-7110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X
Ambulance	341600000X	Primary

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