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Lakeshore Fire Prot District
Land Ambulance in Clearlake, California
NPI 1154321495

Lakeshore Fire Prot District is a Land Ambulance based in Clearlake, CA and is specialized in Land Transport. Lakeshore Fire Prot District practices in Clearlake, CA. The NPI Number for Lakeshore Fire Prot District is 1154321495 and holds a License No. (California).

The current practice location address for Lakeshore Fire Prot District is 14815 Olympic Dr, Clearlake, CA and can be reached out via phone at 707-994-2170.

Location: 14815 Olympic Dr, Clearlake, CA, 95422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154321495
Provider Name
Lakeshore Fire Prot District
Credential
Provider Entity Type
Organization
Address
14815 Olympic Dr, Clearlake, CA, 95422
Phone Number
707-994-2170
Fax Number
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
560013519 01 RRB
MTN00005F 05 CA
institution
Provider Business Practice Location Address Details
Address
14815 Olympic Dr
City
Clearlake
State
California
Zip
95422-9522
Phone Number
707-994-2170
Fax Number
person
Provider Business Mailing Address Details
Address
14815 Olympic Dr
City
Clearlake
State
California
Zip
95422-9522
Phone Number
707-994-2170
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
()
Definition
Definition to come...
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