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Organization
LIFEFLEET LLC
Active
Organization
LIFEFLEET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF LOWERY (PRESIDENT)
(330) 518-5253
Entity
Organization
Contact information
Practice address
11000 MARKET ST, NORTH LIMA, OH 44452-9775
(330) 549-9739
(330) 549-9741
Mailing address
PO BOX 390, NORTH LIMA, OH 44452-0390
(330) 549-9739
(330) 549-9741
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
500242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339587
ANTHEM
KY
01
—
1492265
AETNA
OH
05
—
2493234
—
OH
01
—
800601
BLACK LUNG
OH
01
—
P00202203
RAILROAD MEDICARE
OH
Enumeration date
02/22/2006
Last updated
12/01/2009
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