Individual
STEPHANIE D LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 T ST SE, WASHINGTON, DC 20020-5651
(252) 218-6002
Mailing address
3911 23RD PKWY APT 21, TEMPLE HILLS, MD 20748-6642
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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