Individual
GEOFFREY C LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT-ACCS
Contact information
Practice address
4216 OLD MILL COVE TRL W, JACKSONVILLE, FL 32277-1582
(813) 817-3863
(904) 256-4646
Mailing address
4216 OLD MILL COVE TRL W, JACKSONVILLE, FL 32277-1582
(813) 817-3863
(904) 256-4646
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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