Individual
CHERYL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(314) 731-2433
Mailing address
737 DUNN RD, HAZELWOOD, MO 63042-1740
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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