Individual
KELLY M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
975 KINGSVIEW DRIVE, LEBANON, OH 45036-8336
(513) 228-7800
(513) 228-7846
Mailing address
975 KINGSVIEW DRIVE, SUITE 400, LEBANON, OH 45036-8336
(513) 228-7854
(513) 228-7848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
07/15/2011
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