Individual
MRS. ELIZABETH BARBARA LAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
800 E LUGONIA AVE, REDLANDS, CA 92374-2550
(909) 335-4872
Mailing address
10700 DEERFIELD DR, CHERRY VALLEY, CA 92223-5599
(951) 845-7157
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
338761
CA
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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