County of Lake
NPI #1730179250 in Tiptonville, Tennessee
Provider Information
- NPI Number
- 1730179250
- Entity Type
- Organization
- Organization Name
- County of Lake
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Oct 26, 2005
- Last Updated
- Feb 14, 2013
Practice Location
- Address
- 333 KENTUCKY ST
- City
- Tiptonville
- State
- Tennessee
- ZIP Code
- 38079-1212
- Phone
- (731) 253-9911
Authorized Official
- Name
- MR. MACIE M ROBERSON
- Title
- COUNTY MAYOR
- Phone
- (731) 253-7382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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