Individual
AMANDA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4312 WOODMAN AVE STE 102, SHERMAN OAKS, CA 91423-5523
(818) 646-2562
Mailing address
4312 WOODMAN AVE STE 102, SHERMAN OAKS, CA 91423-5523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95012271
CA
Other
Enumeration date
11/12/2019
Last updated
07/07/2023
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