| Organization Name: | LAKE AREA INDUSTRIES, INC. |
| NPI Number: | 1255538211 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM A BARR (DIRECTOR) |
| Mailing Address: | 1720 North Hwy 5 Camdenton |
| State: | MO US |
| Postal Code: | 65020 |
| Phone Number: | 5733467934 |
| Fax Number: | 5733461214 |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |