Individual
REBECCA S LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 20TH ST FL 4, SANTA MONICA, CA 90404-2050
(310) 652-0100
Mailing address
15539 WOODCREST DR, SHERMAN OAKS, CA 91403-4228
(310) 652-0100
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A79176
CA
Other
Enumeration date
12/27/2008
Last updated
05/03/2024
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