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Individual

MICHELLE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2100
Mailing address
2806 RATHTON RD, CAMP HILL, PA 17011-2134
(717) 319-6568

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006298
PA

Other

Enumeration date
04/27/2019
Last updated
04/27/2019
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