Individual
DR. ANDREW W LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18042 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5603
(714) 962-1674
(714) 964-9624
Mailing address
18042 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5603
(714) 962-1674
(714) 964-9624
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC36197
CA
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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