Individual
LANAE A. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12318 BOYDTON PLANK RD, DINWIDDIE, VA 23841-2454
(434) 485-4763
Mailing address
25409 GREENSVILLE AVE, NORTH DINWIDDIE, VA 23803-8662
(804) 835-8403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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