Organization
ADVANTAGE AMBULANCE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER J LISHON IV (PRESIDENT)
(610) 442-8575
Entity
Organization
Contact information
Practice address
3235A SUNSET LANE, HATBORO, PA 19040
(215) 455-8030
(215) 455-4400
Mailing address
70 FAIRFIELD LANE, CHESTER SPRINGS, PA 19425
(215) 455-5200
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03109
PA
Other
Enumeration date
07/08/2005
Last updated
10/29/2013
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