Lifestar LLC

NPI #1699752998 in Payson, Arizona

Provider Information

NPI Number: 1699752998
Entity Type: Organization
Organization Name: Lifestar LLC
Primary Specialty: Ambulance
Enumeration Date: Dec 28, 2005
Last Updated: Nov 3, 2009

Practice Location

Address: 1014 S WESTERLY
City: Payson
State: Arizona
ZIP Code: 85541
Phone: (928) 474-2831

Authorized Official

Name: MR. RALPH J VASSALLO JR.
Title: VICE PRESIDENT OF BILLING SERVICES
Phone: (602) 437-6620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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