Fast Laine Transport II
NPI #1528710894 in Brown Deer, Wisconsin
Provider Information
- NPI Number
- 1528710894
- Entity Type
- Organization
- Organization Name
- Fast Laine Transport II
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jan 19, 2022
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 4724 W DEER RUN DR APT 105
- City
- Brown Deer
- State
- Wisconsin
- ZIP Code
- 53223-6423
- Phone
- (414) 324-4663
Authorized Official
- Name
- MRS. HELAINE PORTER
- Title
- OWNER
- Phone
- (414) 324-4663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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