| Organization Name: | LAKE COUNTY AMBULANCE SERVICE |
| NPI Number: | 1457346223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIELLE DENEUI (DIRECTOR/CEO) |
| Mailing Address: | 421 20th Ave Two Harbors |
| State: | MN US |
| Postal Code: | 55616 |
| Phone Number: | 2188347110 |
| Fax Number: | 2188349587 |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 10/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0248 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |