Individual
CANDICE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 W 9TH ST STE 100, CLEVELAND, OH 44113-1252
(440) 665-4176
Mailing address
1468 W 9TH ST STE 100, CLEVELAND, OH 44113-1252
(440) 665-4176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
412702
OH
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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