Individual
MRS. SUSAN MARIE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5419 BARBAROSSA AVE, SARASOTA, FL 34235-3507
(941) 587-1441
Mailing address
5419 BARBAROSSA AVE, SARASOTA, FL 34235-3507
(941) 587-1441
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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