Individual
DR. DANIEL JOSEPH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1135 MAKAWAO AVE, SUITE #204, MAKAWAO, HI 96768-7403
(808) 280-9457
Mailing address
126 PENI PL, KULA, HI 96790-8772
(808) 878-3348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY - 933
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000258475
HMSA
HI
05
—
57950001
—
HI
Enumeration date
10/02/2006
Last updated
07/08/2007
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