Individual
CARSEN M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S BRUCE LN, BURBANK, CA 91502-2556
(818) 919-8339
Mailing address
1020 S BRUCE LN, BURBANK, CA 91502-2556
(818) 919-8339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
31870
CA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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