Organization
LAVIGNE BUS COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A HEITZ (OWNER)
(920) 563-1515
Entity
Organization
Contact information
Practice address
N3019 HWY 12, FORT ATKINSON, WI 53538
(920) 563-1515
(920) 568-7086
Mailing address
N3019 HWY 12, FORT ATKINSON, WI 53538
(920) 563-1515
(920) 568-7086
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41414700
—
WI
Enumeration date
05/09/2007
Last updated
08/22/2020
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