| NPI | 1154606101 |
|---|---|
| Doing Business As | LAKESHORE EMS |
| Entity Type | Organization |
| Authorized Contact | MARK R MONTOYA Owner 219-945-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2016-05-05 |