Individual
JANE M LANDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43971 BASCELL ROAD, FREMONT, CA 94538
(510) 979-0603
(510) 979-0798
Mailing address
PO BOX 906, SALIDA, CA 95368
(209) 577-9900
(209) 577-1509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G40646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G406460
—
CA
Enumeration date
06/07/2006
Last updated
07/08/2007
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