Organization
LAKE EGYPT FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY LOGAN CRANE (ADMINISTRATIVE ASSISTANT)
(618) 964-1278
Entity
Organization
Contact information
Practice address
12228 LAKE OF EGYPT RD., MARION, IL 62959
(618) 964-1278
(618) 964-1287
Mailing address
12228 LAKE OF EGYPT RD., MARION, IL 62959
(618) 964-1278
(618) 964-1287
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
055218
IL
3416L0300X
Land Ambulance
1770271
IL
Other
Enumeration date
03/21/2007
Last updated
01/11/2013
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