Individual
BELYNDA M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 W VETERANS MEML DR, KAPLAN, LA 70548-3628
(337) 255-5185
Mailing address
PO BOX 172, KAPLAN, LA 70548-0172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5773
UNCLEAR
—
Enumeration date
05/09/2019
Last updated
05/09/2019
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