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Individual

DR. ANGELA BROOKE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
280 DAVID L GOLDFEIN ST BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-5676
Mailing address
49 MDG, 280 DAVID L. GOLDFEIN ST BLDG 23, HOLLOMAN AFB, NM 88330

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
02/19/2009
Last updated
04/15/2025
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