Individual
MS. LAURIE JEAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1490 E FOREMASTER DR, BUILDING B, ST GEORGE, UT 84790
(435) 652-4205
(435) 688-2078
Mailing address
1812 W SUNSET BL, #4251, ST GEORGE, UT 84770
(435) 619-0416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0700
NV
225X00000X
Occupational Therapist
3262
AZ
225X00000X
Occupational Therapist
Primary
55364234201
UT
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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