Lake S & S LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

LAKE S & S LLC

Practice address

13917 Heywood Dr
Pflugerville, TX 78660-6125

Phone

(512) 785-9487

NPI assigned

Jun 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Serawet LakeNPI 1932892767

Title

Driver

Phone

(512) 785-9487

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Serawet Lake

  • Secured Medical Transport (VAN)
  • Pflugerville, TX
  • NPI 1932892767
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1306520796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 HEYWOOD DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13917 HEYWOOD DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606125",
            "telephone_number": "512-785-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE S & S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "SERAWET",
        "authorized_official_title_or_position": "DRIVER",
        "authorized_official_telephone_number": "512-785-9487"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Krause
• Jayasree Krishnankutty, PA-C
• Alicia Kunkel, M.S., CCC-SLP
• Jennifer La, DDS
• Paula Labastida
• Serawet Lake
• Lamar Medical Suppliers LLC
• John Lambert
• Caitlyn Lammons
• Ty Christopher Landry, LPC

• Secured Medical Transport (VAN) in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.