Organization
LIFESTAR E.M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CLACKLEY (CHIEF)
(803) 386-7367
Entity
Organization
Contact information
Practice address
130 CONNER RD, LEXINGTON, SC 29072-7124
(803) 386-7367
Mailing address
PO BOX 411, LEXINGTON, SC 29071-0411
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
281
SC
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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