Organization
LIFELINE REGIONAL AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LANCE LANE EMT (PRESIDENT)
(843) 374-3911
Entity
Organization
Contact information
Practice address
239 N ACLINE ST, LAKE CITY, SC 29560-2159
(843) 374-3911
(843) 394-9111
Mailing address
239 N ACLINE ST, LAKE CITY, SC 29560-2159
(843) 374-3911
(843) 394-9111
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
077
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0243
—
SC
Enumeration date
08/24/2006
Last updated
06/24/2014
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