# LAUDERDALE LAGRANGE FIRE DEPARTMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114924206
- **Authorized official:** BEN CLARK (EMS CAPTAIN)
- **Authorized official phone:** (262) 949-9704

## Contact information

- **Practice address:** W6080 US HIGHWAY 12, WHITEWATER, WI 53190-4033
- **Practice address phone:** (262) 495-8400
- **Practice address fax:** (262) 495-8426
- **Mailing address:** W6080 US HIGHWAY 12, WHITEWATER, WI 53190-4033
- **Mailing address phone:** (262) 495-4658
- **Mailing address fax:** (262) 495-4686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 60-00522 | WI | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 03/30/2026