# LIFESTAR E.M.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427355700
- **Authorized official:** MR. BRIAN CLACKLEY (CHIEF)
- **Authorized official phone:** (803) 386-7367

## Contact information

- **Practice address:** 130 CONNER RD, LEXINGTON, SC 29072-7124
- **Practice address phone:** (803) 386-7367
- **Mailing address:** PO BOX 411, LEXINGTON, SC 29071-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 281 | SC | Yes |

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 02/22/2011