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Organization

LAKEWOOD COMMUNITY AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIM ROBERTSON (DIRECTOR)
(269) 367-4768
Entity
Organization

Contact information

Practice address
270 W BROADWAY ST, WOODLAND, MI 48897-9798
(269) 367-4453
(269) 367-4453
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912
(517) 485-0001
(517) 485-1138

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
341007
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2796804
MI
Enumeration date
01/04/2006
Last updated
10/17/2007
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