Organization
LAKE S & S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERAWET LAKE (DRIVER)
(512) 785-9487
Entity
Organization
Contact information
Practice address
13917 HEYWOOD DR, PFLUGERVILLE, TX 78660-6125
(512) 785-9487
Mailing address
13917 HEYWOOD DR, PFLUGERVILLE, TX 78660-6125
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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