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Organization
LAKESIDE MEDICAL RESPONSE
Active
Organization
LAKESIDE MEDICAL RESPONSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAMEEKA MCDUFFIE (OWNER)
(843) 629-7133
Entity
Organization
Contact information
Practice address
1801D W EVANS ST STE 110, FLORENCE, SC 29501-3333
(843) 629-7133
(843) 629-7233
Mailing address
1801D W EVANS ST STE 110, FLORENCE, SC 29501-3333
(843) 629-7133
(843) 629-7233
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
234
SC
Other
Enumeration date
10/10/2006
Last updated
04/20/2021
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