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Organization
LANE CHIROPRACTIC REHABILITATION CENTER
Active
Organization
LANE CHIROPRACTIC REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L LANE JR. D.C. (OWNER)
(714) 962-1674
Entity
Organization
Contact information
Practice address
18042 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5603
(714) 962-1674
(714) 964-9624
Mailing address
15550 ROCKFIELD BLVD, #B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0198830
BLUE SHIELD
CA
Enumeration date
10/28/2008
Last updated
10/28/2008
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