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Individual

CHRISTOPHER ALLEN LANE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
2035 HURLEY WAY STE 290, SACRAMENTO, CA 95825-3221
(916) 758-9768
(916) 550-1124
Mailing address
2035 HURLEY WAY STE 290, SACRAMENTO, CA 95825-3221
(916) 758-9768
(916) 550-1124

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RBT-18-61333
OR
247200000X
Other Technician

Other

Enumeration date
02/28/2018
Last updated
10/01/2021
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