# VILLAGE OF LAFARGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LaFarge Area Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760534648
- **Authorized official:** MR. GREGORY MICHAEL LAWTON EMT-BASIC (SERVICE DIRECTOR)
- **Authorized official phone:** (608) 625-6147

## Contact information

- **Practice address:** 201 S CHERRY ST, LA FARGE, WI 54639
- **Practice address phone:** (608) 625-6147
- **Practice address fax:** (608) 625-2110
- **Mailing address:** PO BOX 327, LA FARGE, WI 54639-0327
- **Mailing address phone:** (608) 625-6147
- **Mailing address fax:** (608) 625-2110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6001078 | WI | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 12/16/2010