Lead service lines (LSLs) represent the greatest source of lead in drinking water. Identifying the locations of LSLs can be challenging, and recent service line (SL) material surveys in Michigan, Illinois, Wisconsin, and Indiana found that on average the materials making up 16% of SLs in these states are unknown and may be lead. Given the large number of possible LSLs in the United States, new and pending regulatory requirements, LSL replacement costs, associated lead exposure risks, and the public's desire to reduce lead exposure, there is a need to rapidly and cost‐effectively identify where LSLs are located, on public and private property. This review summarizes current industry LSL identification methods, including records screening, basic visual examination of indoor plumbing, water sampling, excavation, and predictive data analyses. A qualitative comparison of method cost, accuracy, disturbance, and other impacts is provided as a starting point for utilities that are developing a feasible approach for their specific needs/constraints. Lastly, an example stepwise approach to identify unknown SL materials is proposed.