Organization
LIFTS
Active
Other names
Lee Isaacson's Friendly Transportation Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIANE ELIZABETH ISAACSON (OWNER/OPERATOR)
(612) 390-8080
Entity
Organization
Contact information
Practice address
18950 HIGHWOOD SHORES RD, PINE CITY, MN 55063-5409
(612) 390-8080
(320) 629-8971
Mailing address
PO BOX 166, PINE CITY, MN 55063-0166
(612) 390-8080
(320) 629-8971
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BY65152
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450060100
MEDICAID PROVIDER NUMBER
MN
Enumeration date
03/20/2008
Last updated
06/21/2008
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