NPI 1609081033

Lake Shore Fire Department

Organisation Ambulance Erie, PA

Practice location

Address: 5310 W Lake Rd, Erie, PA 16505-2869
Phone: (814) 833-6508
Mailing address: 5310 W Lake Rd PO Box 8566, Erie, PA 16505-2869

Authorised official

Name: Sara O'Brien
Title: President
Phone: (814) 833-6508

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 04166 (PA)

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Registry record

NPI: 1609081033
Entity type: Organization
NPI issued: 11 May 2007
Record last updated: 12 Nov 2008

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.