# LAKES REGION EMS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487685947
- **Authorized official:** MICHELLE ANDERSON (DIRECTOR OF ADMINSTRATION)
- **Authorized official phone:** (651) 243-5502

## Contact information

- **Practice address:** 40245 FLETCHER AVE, NORTH BRANCH, MN 55056-6109
- **Practice address phone:** (651) 243-5505
- **Practice address fax:** (651) 674-4628
- **Mailing address:** 40245 FLETCHER AVE, NORTH BRANCH, MN 55056-6109
- **Mailing address phone:** (651) 243-5505
- **Mailing address fax:** (651) 674-4628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0048 | MN | Yes |
| 3416L0300X | Land Ambulance | 0177 | MN | — |
| 3416L0300X | Land Ambulance | 0211 | MN | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 02/10/2022