Individual
AMANDA RAE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3901 SW 20TH AVE APT 510, GAINESVILLE, FL 32607-4587
(785) 458-2954
Mailing address
2900 UNIVERSITY AVE SE APT 305, MINNEAPOLIS, MN 55414-3734
(785) 458-2954
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
10/26/2022
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