# LODI AREA EMS

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

## Provider details

- **NPI number:** 1588618920
- **Authorized official:** DIANE EBERDT (DIRECTOR)
- **Authorized official phone:** (608) 592-7123

## Contact information

- **Practice address:** 715 N MAIN ST, LODI, WI 53555-1259
- **Practice address phone:** (608) 592-7123
- **Mailing address:** 715 N MAIN ST, LODI, WI 53555-1259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020