# MARY LOU RANE PHD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093148652
- **Authorized official:** MARY LOU RANE PHD (DOCTOR)
- **Authorized official phone:** (310) 277-0241

## Contact information

- **Practice address:** 10332 EASTBORNE AVE, LOS ANGELES, CA 90024-5350
- **Practice address phone:** (310) 277-0241
- **Practice address fax:** (310) 277-9604
- **Mailing address:** 10332 EASTBORNE AVE, LOS ANGELES, CA 90024-5350
- **Mailing address phone:** (310) 277-0241
- **Mailing address fax:** (310) 277-9604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 133N00000X | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2013
- **Last updated:** 08/17/2013