Lawrence Park Volunteer Fire Dept Lawrence Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02163 Issued in PA

Legal business name

LAWRENCE PARK VOLUNTEER FIRE DEPT LAWRENCE PARK

Doing business as

Lawrence Park VFD Ambulance

Practice address

4102 Main St
Erie, PA 16511-1968

Phone

(814) 899-4988

Fax

(814) 898-2103

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Richard Paul Bliss

Title

Deputy Chief

Phone

(814) 899-4988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrence Park VFD Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1790763753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 MAIN ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111968",
            "telephone_number": "814-899-4988",
            "fax_number": "814-898-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 MAIN ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111968",
            "telephone_number": "814-899-4988",
            "fax_number": "814-898-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE PARK VOLUNTEER FIRE DEPT LAWRENCE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "814-899-4988"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032238800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Park VFD Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Lauria, RD, LDN, CLC
• Kayla Lavery
• Nicole Lavery, MS OTR/L
• Victoria Rose Lavery, PT
• David Michael Lavin, M.D.
• Adam Christian Lawrence, CRNP
• Ryan Lawrence
• Sandra M. Lawrence, C.PED
• Samantha Ashley Layton
• Donny Le

• Land Ambulance in Erie, PA
• Providers in Erie, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.