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Individual

TIMOTHY J LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1092 N EL CAMINO REAL, ENCINITAS, CA 92024-1367
(760) 633-6507
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 633-6507

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT300789
CA

Other

Enumeration date
09/07/2021
Last updated
04/06/2022
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