Individual
DANIELLE DAWN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11687 LONDON ROAD, ORIENT, OH 43146
(614) 353-9783
Mailing address
11687 LONDON ROAD, ORIENT, OH 43146
(614) 353-9783
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2663738
—
OH
Enumeration date
05/11/2007
Last updated
07/08/2007
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