Individual
MR. MATTHEW J LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN/LVN
Contact information
Practice address
331 REED RD, MASON, NH 03048-4710
(978) 877-0589
Mailing address
331 REED RD, MASON, NH 03048-4710
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1538026
TX
164X00000X
Licensed Vocational Nurse
Primary
209886
TX
Other
Enumeration date
07/11/2009
Last updated
07/11/2009
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