Individual
JOHN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5352 HURON RD, LYNDHURST, OH 44124-2810
(216) 905-1128
Mailing address
5352 HURON RD, LYNDHURST, OH 44124-2810
(216) 905-1128
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
09/19/2025
Last updated
10/24/2025
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