Lifeline Regional Ambulance, Inc.

NPI #1164539284 in Lake City, South Carolina

Provider Information

NPI Number: 1164539284
Entity Type: Organization
Organization Name: Lifeline Regional Ambulance, Inc.
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Aug 24, 2006
Last Updated: Jun 24, 2014

Practice Location

Address: 239 N ACLINE ST
City: Lake City
State: South Carolina
ZIP Code: 29560-2159
Phone: (843) 374-3911

Authorized Official

Name: MR. JOSEPH LANCE LANE, EMT
Title: PRESIDENT
Phone: (843) 374-3911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X	Primary

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