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Lakeside Ems Llc
Land Ambulance in Effingham, Illinois
NPI 1093211823

Lakeside Ems Llc is a Land Ambulance based in Effingham, IL and is specialized in Land Transport. Lakeside Ems Llc practices in Effingham, IL. The NPI Number for Lakeside Ems Llc is 1093211823 and holds a License No. 060409935 (Illinois).

The current practice location address for Lakeside Ems Llc is 815 S Maple St, Effingham, IL and can be reached out via phone at 217-994-2046 and via fax at 724-794-1633.

Location: 815 S Maple St, Effingham, IL, 62401-2641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093211823
Provider Name
Lakeside Ems Llc
Credential
Provider Entity Type
Organization
Address
815 S Maple St, Effingham, IL, 62401-2641
Phone Number
217-994-2046
Fax Number
724-794-1633
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5219-01 01 IL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
815 S Maple St
City
Effingham
State
Illinois
Zip
62401-2641
Phone Number
217-994-2046
Fax Number
724-794-1633
person
Provider Business Mailing Address Details
Address
815 S Maple St
City
Effingham
State
Illinois
Zip
62401-2641
Phone Number
217-994-2046
Fax Number
724-794-1633
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
060409935 (Illinois)
Definition
Definition to come...
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