| NPI | 1104829290 |
|---|---|
| Other Name | LAVERNE EMS |
| Entity Type | Organization |
| Authorized Contact | PAULINE HEINZ Director 580-921-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: OK EMS118) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-03-25 |