Individual
MCKENZIE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 NORTHGATE DR APT B, GOLETA, CA 93117-1122
(419) 304-8866
Mailing address
391 NORTHGATE DR APT B, GOLETA, CA 93117-1122
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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