Individual
JEFF LOUIS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
7959 ORANGE AVE, FAIR OAKS, CA 95628-5916
(916) 485-4100
Mailing address
340 LANFRANCO CIR, SACRAMENTO, CA 95835-2068
(916) 470-8062
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT40875
CA
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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