Individual
JUSTIN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
558 E RIVERSIDE DR, #208, ST GEORGE, UT 84790-7135
(435) 773-7790
Mailing address
558 E RIVERSIDE DR, #208, ST GEORGE, UT 84790-7135
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
9796872-1201
UT
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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