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Individual

BRIAN ROBERT LANE

Active
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Individual

BRIAN ROBERT LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT 34664
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT 34664
LICENSE
CA
Enumeration date
09/17/2009
Last updated
10/12/2020
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