Individual
AMANDA NICOLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2143
Mailing address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2143
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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