Organization
LOVELIA LANE
Active
Organization
LOVELIA LANE
Active
Other names
midland stats
Organization subpart
No
Provider details
NPI number
Authorized official
LOVELIA LANE (OWNER)
(909) 267-4866
Entity
Organization
Contact information
Practice address
12821 MOUNTAIN AVE, SUITE 175, CHINO, CA 91710-4556
(909) 267-4866
Mailing address
12821 MOUNTAIN AVE, SUITE 175, CHINO, CA 91710-4556
(909) 267-4866
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1087349
CA
Other
Enumeration date
09/08/2008
Last updated
05/15/2009
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