Individual
JUDY C LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 W RAHN RD, DAYTON, OH 45429-2064
(937) 239-8254
Mailing address
390 W RAHN RD, DAYTON, OH 45429-2064
(372) 398-2549
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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