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Organization

LAKE TRANSPORTATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIRAHMAN MOHAMED MOHAMUD (PRESIDENT)
(612) 800-1628
Entity
Organization

Contact information

Practice address
1433 E FRANKLIN AVE, B5, MINNEAPOLIS, MN 55404-2101
(612) 800-1628
Mailing address
1433 E FRANKLIN AVE, B5, MINNEAPOLIS, MN 55404-2101
(612) 800-1628

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
G527073810814
MN

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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