Individual
COREENE DIAN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IP
Contact information
Practice address
18957 EDWARDS RD, DOYLESTOWN, OH 44230-9528
(330) 658-2606
Mailing address
18957 EDWARDS RD, DOYLESTOWN, OH 44230-9528
(330) 658-2606
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
8501740
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8501740
—
OH
Enumeration date
12/09/2020
Last updated
12/09/2020
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