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Individual

LANE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11906 ARBOR ST, OMAHA, NE 68144-2900
(402) 432-0377
Mailing address
8300 JEFFERSON NE SUITE B, ALBUQUERQUE,, NM 87113

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/20/2024
Last updated
05/21/2024
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