| Organization Name: | LAKES REGION EMS, INC. |
| NPI Number: | 1487685947 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD JOHN FISK (DIRECTOR OF FINANCE) |
| Mailing Address: | 39840 Grand Ave North Branch |
| State: | MN US |
| Postal Code: | 550566064 |
| Phone Number: | 6512774911 |
| Fax Number: | 6516744628 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |