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Organization
MOBILIZE
Active
Organization
MOBILIZE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LANE DC (PARTNER)
(415) 298-1053
Entity
Organization
Contact information
Practice address
425 DIVISADERO ST, SUITE 209, SAN FRANCISCO, CA 94117-2242
(415) 298-1053
Mailing address
425 DIVISADERO ST, SUITE 209, SAN FRANCISCO, CA 94117-2242
(415) 298-1053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC32295
CA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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