Individual
JORDAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 MONARCH ST, LEXINGTON, KY 40513-1979
(859) 710-5458
Mailing address
1165 MONARCH ST, LEXINGTON, KY 40513-1979
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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