Individual
LANE D. SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2521 STOCKTON BLVD, #7200, SACRAMENTO, CA 95817-2207
(916) 734-5005
(916) 703-5011
Mailing address
2521 STOCKTON BLVD, #7200, SACRAMENTO, CA 95817-2207
(916) 734-2801
(916) 703-5011
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A125847
CA
Other
Enumeration date
09/14/2011
Last updated
09/13/2016
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