Individual
THOMAS LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2503 SE 15TH CT, HOMESTEAD, FL 33035-2113
(561) 513-7941
Mailing address
4 THORNBERRY LN, STAFFORD, VA 22556-8003
(908) 357-4737
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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