Individual
MR. JAMES RICHARD LANE ITALIANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
BC-HIS, ACA
Contact information
Practice address
24022 CALLE DE LA PLATA, SUITE 415, LAGUNA HILLS, CA 92653-3626
(949) 859-7553
(949) 859-9256
Mailing address
24022 CALLE DE LA PLATA, SUITE 415, LAGUNA HILLS, CA 92653-3626
(949) 859-7553
(949) 859-9256
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA0007560
MEDICAL
CA
Enumeration date
12/16/2005
Last updated
07/08/2007
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