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Organization
CHIROPRACTIC LANE AND REHAB, LLC
Active
Organization
CHIROPRACTIC LANE AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD JACOB LANE DC (OWNER)
(973) 344-5656
Entity
Organization
Contact information
Practice address
290 FERRY ST, SUITE A1, NEWARK, NJ 07105-3475
(973) 344-5656
(973) 344-5633
Mailing address
290 FERRY ST, SUITE A1, NEWARK, NJ 07105-3475
(973) 344-5656
(973) 344-5633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00671700
NJ
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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