Lakes Medi-Van Inc.
NPI #1467593251 in Detroit Lakes, Minnesota
Provider Information
- NPI Number
- 1467593251
- Entity Type
- Organization
- Organization Name
- Lakes Medi-Van Inc.
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Aug 28, 2007
Practice Location
- Address
- 16777 LONGVIEW DRIVE
- City
- Detroit Lakes
- State
- Minnesota
- ZIP Code
- 56501
- Phone
- (800) 422-0976
Authorized Official
- Name
- MR. JEFFREY NUSTAD
- Title
- OWNER, PRESIDENT
- Phone
- (800) 422-0976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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