Organization
LIGHTHOUSE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD OLSON (OWNER)
(612) 619-1559
Entity
Organization
Contact information
Practice address
5155 E RIVER RD, FRIDLEY, MN 55421-1025
(612) 619-1559
(651) 797-4603
Mailing address
5155 E RIVER RD, FRIDLEY, MN 55421-1025
(612) 619-1559
(651) 797-4603
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
375630
MN
Other
Enumeration date
08/24/2012
Last updated
08/24/2012
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