NPI 1215274931

Lakeview Critical Care EMS, INC

Organisation Land Ambulance Waterford, WI

Practice location

Address: 1701 Sharp Rd, Waterford, WI 53185-5214
Phone: (262) 534-7297
Fax: (262) 534-7257
Mailing address: 1701 Sharp Road, Waterford, WI 53185

Authorised official

Name: Andy Alexander Olivares
Title: Coo
Phone: (262) 534-7297

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 6604929 (WI)

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Registry record

NPI: 1215274931
Entity type: Organization
NPI issued: 15 Jan 2013
Record last updated: 29 Mar 2024

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.