| NPI | 1124734744 |
|---|---|
| Doing Business As | LAKE RIDGE EMERGENCY MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MONA PARKS Fiscal Officer 219-838-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2024-04-16 |