Organization
LAND OF LAKES TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAISAL OMAR (OWNER)
(651) 592-7785
Entity
Organization
Contact information
Practice address
14093 COMMERCE AVE NE, SUITE 200, PRIOR LAKE, MN 55372-1495
(612) 568-4431
Mailing address
2288 13TH AVE E, NORTH SAINT PAUL, MN 55109-2422
(651) 592-7785
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
US DOT # 2438797
MN
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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