Organization · Type 2 NPI

Lawrence Co

Land Ambulance · Lawrenceville, IL

NPI number 1760791792 Active

Practice location

2009 Lexington Ave
Lawrenceville, IL 62439

Fax (618) 943-6800

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	52150 (IL)

Land Ambulance: Definition to come...

NPI record

NPI: 1760791792
Entity type: Organization (Type 2)
Issued: Sep 24, 2010
Last updated: Apr 1, 2026
Status: Active

Other names

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Lawrence County Ambulance Service · doing business as
Lawrence County Ambulance Service · doing business as

Authorized official

Ryan Holdrieth
Ems Director
(618) 943-3300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760791792

Lawrence Co's National Provider Identifier is 1760791792, issued on Sep 24, 2010. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Lawrenceville, IL. The record was last updated on Apr 1, 2026.