Individual
BRIAN ROBERT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8701 CUYAMACA ST, SANTEE, CA 92071
(619) 568-8105
Mailing address
8701 CUYAMACA ST, SANTEE, CA 92071
(619) 568-8105
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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