Organization
LAKES REGION EMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANDERSON (DIRECTOR OF ADMINSTRATION)
(651) 243-5502
Entity
Organization
Contact information
Practice address
40245 FLETCHER AVE, NORTH BRANCH, MN 55056-6109
(651) 243-5505
(651) 674-4628
Mailing address
40245 FLETCHER AVE, NORTH BRANCH, MN 55056-6109
(651) 243-5505
(651) 674-4628
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0048
MN
3416L0300X
Land Ambulance
0177
MN
3416L0300X
Land Ambulance
0211
MN
Other
Enumeration date
07/05/2006
Last updated
02/10/2022
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