Organization
LAKE MILLS EMERGENCY MEDICAL SERVICES INC.
Active
Other names
LM EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BLOMGREN (TREASURER)
(920) 285-6393
Entity
Organization
Contact information
Practice address
603 E LAKE ST, LAKE MILLS, WI 53551-1738
(920) 648-5888
(920) 648-8627
Mailing address
603 E LAKE ST, PO BOX 162, LAKE MILLS, WI 53551-1738
(920) 648-5888
(920) 648-8627
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
60-1031
WI
Other
Enumeration date
03/15/2007
Last updated
02/10/2022
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