# LANE LIFE CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lane LifeTRANS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649201492
- **Authorized official:** TODD A ANGOOD (DIRECTOR OF CORPORATE FINANCE)
- **Authorized official phone:** (330) 799-1002

## Contact information

- **Practice address:** 5801 MAHONING AVE, AUSTINTOWN, OH 44515-2222
- **Practice address phone:** (330) 799-1002
- **Practice address fax:** (330) 544-8953
- **Mailing address:** PO BOX 72023, CLEVELAND, OH 44192-0002
- **Mailing address phone:** (330) 799-1002
- **Mailing address fax:** (330) 544-8953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | OH | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 09/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4949917 | — | OH |
| 01 | — | 590010164 | RAILROAD MEDICARE | — |