NPI 1073028890

Lakeshore Medical Transport and Supply

Organisation Driver Detroit, MI

Practice location

Address: 11450 Minden St, Detroit, MI 48205-3763
Phone: (313) 437-3841

Authorised official

Name: Donte Roberts
Title: President
Phone: (313) 329-8125

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1073028890
Entity type: Organization
NPI issued: 4 Dec 2017
Record last updated: 7 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.