Lorain Lifecare Ambulance Service INC

NPI #1578527800 in Lorain, Ohio

Provider Information

NPI Number: 1578527800
Entity Type: Organization
Organization Name: Lorain Lifecare Ambulance Service INC
Primary Specialty: Ambulance
Enumeration Date: Apr 13, 2006
Last Updated: Aug 10, 2012

Practice Location

Address: 109 W. 23RD STREET
City: Lorain
State: Ohio
ZIP Code: 44052-4801
Phone: (440) 244-2336

Authorized Official

Name: MR. PETER C. ANDRE DE LA PORTE
Title: PRESIDENT
Phone: (440) 323-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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