Organization
LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
Active
Other names
LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
Organization subpart
No
Provider details
NPI number
Authorized official
BEN CLARK (EMS CAPTAIN)
(262) 949-9704
Entity
Organization
Contact information
Practice address
W6080 US HIGHWAY 12, WHITEWATER, WI 53190-4033
(262) 495-8400
(262) 495-8426
Mailing address
W6080 US HIGHWAY 12, WHITEWATER, WI 53190-4033
(262) 495-4658
(262) 495-4686
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
60-00522
WI
Other
Enumeration date
07/05/2005
Last updated
03/30/2026
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