Individual
KYRSTIN LYNNICE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 7TH ST STE S-270D, LOS ANGELES, CA 90017-3768
(213) 988-8380
(213) 988-8390
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A155305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A155305
STATE LICENSE
CA
Enumeration date
04/12/2015
Last updated
03/07/2023
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