Organization
LAKE SHORE FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA O'BRIEN (PRESIDENT)
(814) 833-6508
Entity
Organization
Contact information
Practice address
5310 W LAKE RD, ERIE, PA 16505-2869
(814) 833-6508
Mailing address
5310 W LAKE RD, PO BOX 8566, ERIE, PA 16505-2869
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04166
PA
Other
Enumeration date
05/11/2007
Last updated
11/12/2008
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