Individual
JEFFERY LANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1330 N RIM DR STE B, FLAGSTAFF, AZ 86001-3138
(928) 522-0500
(855) 433-1122
Mailing address
2700 S WOODLANDS VILLAGE BLVD STE 300-409, FLAGSTAFF, AZ 86001-7114
(928) 522-0500
(855) 433-1122
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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