Active NPI
Lakeshore Transportation Inc.
- Non-emergency Medical Transport (VAN)
- Plymouth, WI
National Provider Identifier
1881576718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- LAKESHORE TRANSPORTATION INC.
- Practice address
- N5806 County Road M
Plymouth, WI 53073-4377 - Phone
- (920) 980-2080
- NPI assigned
- Jul 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Egeland
- Title
- Owner
- Phone
- (563) 419-4143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
N5806 County Road M
Plymouth, WI 53073-4377
Mailing address
N5806 County Road M
Plymouth, WI 53073-4377
Phone (920) 980-2080
National Provider Directory
National Provider DirectoryLocations
N5806 County Road M
Plymouth, WI 53073
Phone (920) 980-2080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753142400000",
"number": "1881576718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N5806 COUNTY ROAD M",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734377",
"telephone_number": "920-980-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N5806 COUNTY ROAD M",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734377",
"telephone_number": "920-980-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESHORE TRANSPORTATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A",
"authorized_official_last_name": "EGELAND",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-419-4143"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.