Individual
DR. KEVIN JOHN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5 EASTRIDGE LANE, CONCORD, CA 94518-1449
(925) 689-7032
Mailing address
5 EASTRIDGE LANE, CONCORD, CA 94518-1449
(925) 689-7032
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
12555
NV
333600000X
Pharmacy
Primary
RPH48158
CA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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