Organization
LANE LIFE CORP
Active
Other names
Lane LifeTRANS
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A ANGOOD (DIRECTOR OF CORPORATE FINANCE)
(330) 799-1002
Entity
Organization
Contact information
Practice address
5801 MAHONING AVE, AUSTINTOWN, OH 44515-2222
(330) 799-1002
(330) 544-8953
Mailing address
PO BOX 72023, CLEVELAND, OH 44192-0002
(330) 799-1002
(330) 544-8953
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
OH
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4949917
—
OH
01
—
590010164
RAILROAD MEDICARE
—
Enumeration date
07/06/2006
Last updated
09/10/2020
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