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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