Individual
DR. DONALD L LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18042 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5603
(714) 962-1674
(714) 964-9624
Mailing address
18042 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5603
(714) 962-1674
(714) 964-9624
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0198830
BLUE SHIELD
CA
Enumeration date
10/12/2006
Last updated
12/07/2021
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