Lakeline Transportation LLC

NPI #1962861005 in Eagan, Minnesota

Provider Information

NPI Number
1962861005
Entity Type
Organization
Organization Name
Lakeline Transportation LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Feb 17, 2016
Last Updated
Feb 17, 2016

Practice Location

Address
1416 SHORELINE DR
City
Eagan
ZIP Code
55121
Phone
(612) 702-9259

Authorized Official

Name
ABDIQADAR FARAH
Title
OWNER
Phone
(612) 702-9259

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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